Individual provider Active NPI

Hannah Lee Pierson, DPT

  • Orthopedic Physical Therapist
  • Boise, ID
National Provider Identifier
1104519917
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2023018886 Issued in MO
Practice address
10790 W Overland Rd
Boise, ID 83709-1329
Phone
(986) 497-5944
NPI assigned
May 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2023018886 MO Primary

Addresses

Primary practice location

10790 W Overland Rd
Boise, ID 83709-1329

Mailing address

10790 W Overland Rd
Boise, ID 83709-1329

Other practice location 1

120 E Pine St
Caldwell, ID 83605-4836
Phone (986) 800-2708

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718003224 ID Practitioner - Physical Therapist in Private Practice 1951761238 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sawtooth Physical Therapy 22 clinicians
CSRM LLC 22 clinicians

Practice addresses (Care Compare)

7979 W Rifleman St
Suite 100
Boise, ID 83704-9066
Phone (208) 377-3850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023018886MOMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sawtooth Physical Therapy CurrentSince May 13, 2024 Accepting new patients
CSRM LLC Orthopedic CurrentSince May 13, 2024 Accepting new patients
Rehabauthority, LLC Orthopedic CurrentSince Jun 12, 2023 Accepting new patients
CSRM LLC CurrentSince May 13, 2024 Accepting new patients
Sawtooth Physical Therapy Orthopedic CurrentSince May 13, 2024 Accepting new patients

Locations

7979 W Rifleman St
Ste 200
Boise, ID 83704
Phone (208) 377-3850

10790 W Overland Rd
Boise, ID 83709
Phone (208) 322-8709

7979 W Rifleman St
Ste 100
Boise, ID 83704
Phone (208) 375-6133

120 E Pine St
Caldwell, ID 83605
Phone (208) 454-5142

720 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 322-8709

3015 E Magic View Dr
Ste 100
Meridian, ID 83642
Phone (208) 887-3498

4842 N Cortona Way
Ste 100
Meridian, ID 83646
Phone (208) 888-8302

16816 N Marketplace Blvd
Nampa, ID 83687
Phone (208) 461-9593

337 W Iowa Ave
Nampa, ID 83686
Phone (208) 305-6838

Organizations & group practices 8

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": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1104519917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10790 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091329",
            "telephone_number": "986-497-5944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 E Pine St",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836054836",
            "country_code": "US",
            "telephone_number": "986-800-2708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "HANNAH",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "2023018886",
            "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 May 29, 2023; 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.