Active NPI
Direct Orthopedic Care LLC
- Orthopaedic Surgery Physician
- Boise, ID
National Provider Identifier
1104367028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- DIRECT ORTHOPEDIC CARE LLC
- Practice address
- 1789 S Broadway Ave
Ste 100
Boise, ID 83706-3800 - Phone
- (208) 321-4000
- Fax
- (208) 855-0157
- NPI assigned
- Mar 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Thiry
- Title
- Ceo
- Phone
- (208) 482-5567
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
1789 S Broadway Ave
Ste 100
Boise, ID 83706-3800
Mailing address
3015 E Magic View Dr Ste 130
Meridian, ID 83642-3750
Phone (208) 321-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170724001089 | ID | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 2163648155 | Practice locations: Boise, ID |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Direct Orthopedic Care LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Meridian, ID
- NPI 1588331268
-
- Orthopaedic Surgery Physician
- Nampa, ID
- NPI 1932640851
Locations
1789 S Broadway Ave
Ste 100
Boise, ID 83706
Phone (208) 287-0203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784592000000",
"number": "1104367028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 E MAGIC VIEW DR STE 130",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836423750",
"telephone_number": "208-321-4000",
"fax_number": "208-855-0157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1789 S BROADWAY AVE",
"address_2": "STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "837063800",
"telephone_number": "208-321-4000",
"fax_number": "208-855-0157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIRECT ORTHOPEDIC CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-10",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A",
"authorized_official_last_name": "THIRY",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "208-482-5567"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"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 Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.