Active NPI
Bridget Catherine Chow, P.T.
- Physical Therapist
- Boise, ID
National Provider Identifier
1063418796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 417
- Practice address
- 5255 Overland Rd
Boise, ID 83705-2637 - Phone
- (208) 338-9486
- Fax
- (208) 338-9586
- NPI assigned
- Jun 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 417 | ID | Primary |
Addresses
Primary practice location
5255 Overland Rd
Boise, ID 83705-2637
Mailing address
5255 Overland Rd
Boise, ID 83705-2637
Phone (208) 338-9486
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010019416 | Other | ID | BLUE SHIELD |
| 804132700 | Medicaid | ID | |
| T3936 | Other | ID | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 417 | ID | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Boise, ID
- NPI 1730185372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1063418796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5255 OVERLAND RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837052637",
"telephone_number": "208-338-9486",
"fax_number": "208-338-9586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 OVERLAND RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837052637",
"telephone_number": "208-338-9486",
"fax_number": "208-338-9586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOW",
"first_name": "BRIDGET",
"middle_name": "CATHERINE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "417",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010019416",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "804132700",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "T3936",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.