Active NPI
Michelle Sellers Jones, P.T.
- Physical Therapist
- Boise, ID
National Provider Identifier
1093929812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 1433
- Practice address
- 9362 W Overland Rd
Boise, ID 83709-2505 - Phone
- (208) 672-8144
- Fax
- (208) 672-8145
- NPI assigned
- May 10, 2007
- 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 1433 | ID | Primary |
Addresses
Primary practice location
9362 W Overland Rd
Boise, ID 83709-2505
Mailing address
9362 W Overland Rd
Boise, ID 83709-2505
Phone (208) 672-8144
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 1433 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Physical Therapy for Orthopaedic and Sports Injuries, LLC | Physical Therapist | 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.
-
- Physical Therapist
- Boise, ID
- NPI 1740483411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1093929812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9362 W OVERLAND RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837092505",
"telephone_number": "208-672-8144",
"fax_number": "208-672-8145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9362 W OVERLAND RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837092505",
"telephone_number": "208-672-8144",
"fax_number": "208-672-8145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MICHELLE",
"middle_name": "SELLERS",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT 1433",
"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 Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.