Individual provider Active NPI

Amanda J Dunne, PT

  • Physical Therapist
  • Boise, ID
National Provider Identifier
1104040237
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5431 Issued in ID
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

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180809000762 ID Practitioner - Physical Therapist in Private Practice 0042319022 Reassigns benefits to 1 organization

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
Rebound Physical Therapy PCGroup PAC ID 4284665639, 3 clinicians

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

LicenseStateTypeSpecialty
PT-5431IDMDPhysical Therapist
2007008743MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Therapy PC Physical Therapist CurrentSince Jan 8, 2024 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.

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.

Verify at the official NPI Registry.