Individual provider Active NPI

Paige L Barbero, PT, DPT, OCS

  • Physical Therapist
  • Boise, ID
National Provider Identifier
1063847259
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2558 Issued in ID
Practice address
1520 W State St Ste 210
Boise, ID 83702-4085
Phone
(208) 336-8433
Fax
(206) 336-8441
NPI assigned
Sep 6, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-2558 ID Primary

Addresses

Primary practice location

1520 W State St Ste 210
Boise, ID 83702-4085

Mailing address

16083 SW Upper Boones Ferry Rd Ste 300
Tigard, OR 97224-7736
Phone (800) 219-8835

Other practice location 1

2475 S Apple St
Ste 200
Boise, ID 83706-5150
Phone (208) 489-5095

Other practice location 2

2475 S Apple St
Ste 200
Boise, ID 83706-5150
Phone (208) 489-5095

Other identifiers 1

IdentifierTypeStateIssuer
1063847259MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171211001715 ID Practitioner - Physical Therapist in Private Practice 5395003834 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates Inc Physical Therapist CurrentSince Nov 1, 2017 Accepting new patients
Therapeutic Associates, Inc. Physical Therapist CurrentSince Nov 1, 2017 Accepting new patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Current Physical Therapy Caldwell Physical Therapist CurrentSince Dec 15, 2024 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

1520 W State St
Ste 210
Boise, ID 83702
Phone (208) 336-8433

390 E Parkcenter Blvd
Ste 130
Boise, ID 83706
Phone (208) 433-9211

1906 Fairview Ave
Ste 120
Caldwell, ID 83605
Phone (208) 402-0100

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

Interoperability endpoints

  • Direct secure messaging: paige.barbero.1@31414.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063847259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD STE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "800-219-8835",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W STATE ST STE 210",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024085",
            "telephone_number": "208-336-8433",
            "fax_number": "206-336-8441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2475 S Apple St",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837065150",
            "country_code": "US",
            "telephone_number": "208-489-5095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2475 S Apple St",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837065150",
            "country_code": "US",
            "telephone_number": "208-489-5095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBERO",
        "first_name": "PAIGE",
        "middle_name": "L",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063847259",
            "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 Mar 17, 2018; 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.

Verify at the official NPI Registry.