Active NPI
Amanda J Dunne, PT
- Physical Therapist
- Boise, ID
National Provider Identifier
1104040237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-5431
- Practice address
- 1175 E Parkcenter Blvd Ste 104
Boise, ID 83706-6752 - Phone
- (208) 344-2525
- Fax
- (208) 344-3056
- NPI assigned
- Apr 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2007008743 | MO | |
| Physical Therapist | 225100000X | PT-5431 | ID | Primary |
Addresses
Primary practice location
1175 E Parkcenter Blvd Ste 104
Boise, ID 83706-6752
Mailing address
1175 E Parkcenter Blvd Ste 104
Boise, ID 83706-6752
Phone (208) 344-2525
Other names 1
- Amanda Jaye Bales
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1175 E Parkcenter Blvd
Suite 104
Boise, ID 83706-6752
Phone (208) 344-2525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-5431 | ID | MD | Physical Therapist |
| 2007008743 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebound Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| BDM Associates LLC | Physical Therapist | Past | Accepting new patients |
| Chas Physician Services LLC | Past | Accepting new patients |
Locations
1175 E Parkcenter Blvd
Ste 104
Boise, ID 83706
Phone (208) 344-2525
Organizations & group practices 3
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 1891882486
-
- Physical Therapist
- Columbia, MO
- NPI 1801847033
-
- Cardiovascular Disease Physician
- Columbia, MO
- NPI 1629301163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1104040237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 E PARKCENTER BLVD STE 104",
"city": "BOISE",
"state": "ID",
"postal_code": "837066752",
"telephone_number": "208-344-2525",
"fax_number": "208-344-3056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 E PARKCENTER BLVD STE 104",
"city": "BOISE",
"state": "ID",
"postal_code": "837066752",
"telephone_number": "208-344-2525",
"fax_number": "208-344-3056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNNE",
"first_name": "AMANDA",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2007008743",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-5431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "BALES",
"middle_name": "JAYE",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
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, 2025; 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.