Active NPI
Emily Verheijen, DPT
- Physical Therapist
- Eagle, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-8712
- Practice address
- 507 S Fitness PL Ste 110
Eagle, ID 83616-6552 - Phone
- (208) 629-1030
- Fax
- (208) 346-7618
- NPI assigned
- Jun 5, 2023
- Last updated
- Jun 5, 2023
- 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 | PT-8712 | ID | Primary |
Addresses
Primary practice location
507 S Fitness PL Ste 110
Eagle, ID 83616-6552
Mailing address
11988 W Fairview Ave Apt B204
Boise, ID 83713-7843
Phone (208) 841-3012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2717 W Bannock St
Suite 100
Boise, ID 83702-4758
Phone (208) 629-1030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-8712 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Valley Pelvic Health, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2717 W Bannock St
Ste 100
Boise, ID 83702
Phone (208) 629-1030
507 S Fitness Pl
Ste 110
Eagle, ID 83616
Phone (208) 629-1030
775 S Rivershore Ln
Ste 220
Eagle, ID 83616
Phone (208) 435-8662
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Eagle, ID
- NPI 1689178469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1083308035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11988 W FAIRVIEW AVE APT B204",
"city": "BOISE",
"state": "ID",
"postal_code": "837137843",
"telephone_number": "208-841-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 S FITNESS PL STE 110",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166552",
"telephone_number": "208-629-1030",
"fax_number": "208-346-7618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERHEIJEN",
"first_name": "EMILY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-05",
"certification_date": "2023-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-8712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.