NPIMap

Organization Active NPI

Complete Therapy Solutions, PLLC

  • Physical Therapy Clinic/Center
  • Boise, ID
National Provider Identifier
1104226828
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT2549 Issued in ID
Legal business name
COMPLETE THERAPY SOLUTIONS, PLLC
Practice address
13900 W Wainwright Dr
Boise, ID 83713-5028
Phone
(208) 351-9955
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Jonathan Roy Gardunia, DPT
Title
Owner/President
Phone
(208) 351-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT2549 ID Primary

Addresses

Primary practice location

13900 W Wainwright Dr
Boise, ID 83713-5028

Mailing address

11106 West Springgold Drive
Boise, ID 83709
Phone (208) 351-9955

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1104226828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11106 WEST SPRINGGOLD DRIVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83709",
            "telephone_number": "208-351-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 W WAINWRIGHT DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135028",
            "telephone_number": "208-351-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE THERAPY SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "GARDUNIA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-351-9955",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ID",
            "license": "PT2549",
            "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 Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.