Eleanore Shumate, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2173 Issued in ID

Practice address

6560 W Emerald St Ste 122
Boise, ID 83704-8781

Phone

(208) 322-4344

Fax

(208) 322-4644

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• ZRJ Inc

  dba Idaho Spine & Sports Physical Therapy

  • Physical Therapist
  • Boise, ID
  • NPI 1639365323
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083754733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 VILLAGE LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026235",
            "telephone_number": "208-322-4344",
            "fax_number": "208-322-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 W EMERALD ST STE 122",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048781",
            "telephone_number": "208-322-4344",
            "fax_number": "208-322-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "ELEANORE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Andrew Shuler, N.P.
• Sara Shults
• Robert E Shumaker, PA
• Stephanie Shumaker, R.PH.
• Tegan Shuman
• Ilana Beth Shumsky, M.D.
• Jeremy Shupperd, CPO
• Rodrigue Shyaka
• Brady Sibbett, CRNA
• Shaun Ryan Sibbett, CRNA

• Physical Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapist in Idaho

• 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.
• 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.

Verify at the official NPI Registry.