Active NPI
Eric Gregory Thompson, DPT
- Specialist
- Boise, ID
National Provider Identifier
1063514867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT-2078
- Practice address
- 5418 N Eagle Rd
Ste 140
Boise, ID 83713-0998 - Phone
- (208) 938-5255
- Fax
- (208) 938-5545
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT-2078 | ID | Primary |
Addresses
Primary practice location
5418 N Eagle Rd
Ste 140
Boise, ID 83713-0998
Mailing address
5418 N Eagle Rd
Ste 140
Boise, ID 83713-0998
Phone (208) 938-5255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-2078 | ID | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabauthority, LLC | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Grand Forks, ND
- NPI 1730159690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063514867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5418 N EAGLE RD",
"address_2": "STE 140",
"city": "BOISE",
"state": "ID",
"postal_code": "837130998",
"telephone_number": "208-938-5255",
"fax_number": "208-938-5545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5418 N EAGLE RD",
"address_2": "STE 140",
"city": "BOISE",
"state": "ID",
"postal_code": "837130998",
"telephone_number": "208-938-5255",
"fax_number": "208-938-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ERIC",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ID",
"license": "PT-2078",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.