Organization Active NPI

Aspire Physical Therapy, PLLC

  • Physical Therapist
  • Hailey, ID
National Provider Identifier
1053857730
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ASPIRE PHYSICAL THERAPY, PLLC
Practice address
113 E Bullion St
Suite C
Hailey, ID 83333-8770
Phone
(208) 720-3421
Fax
(208) 297-2680
NPI assigned
Jan 18, 2017
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gloria Gould Gunter, MPTNPI 1275512246
Title
Owner/Physical Therapist
Phone
(208) 720-3421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

113 E Bullion St
Suite C
Hailey, ID 83333-8770

Mailing address

PO Box 92
Hailey, ID 83333-0092
Phone (208) 720-3421

Other identifiers 3

IdentifierTypeStateIssuer
000010030447OtherIDBLUE SHIELD
1275512246MedicaidID
T4868OtherIDBLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1053857730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833330092",
            "telephone_number": "208-720-3421",
            "fax_number": "208-297-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E BULLION ST",
            "address_2": "SUITE C",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338770",
            "telephone_number": "208-720-3421",
            "fax_number": "208-297-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "GUNTER",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "GOULD",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "208-720-3421",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010030447",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275512246",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "T4868",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hailey, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.