Active NPI
Christopher D Gammon, OTR
- Hand Physical Therapist
- Boise, ID
National Provider Identifier
1104838325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Physical Therapist
- License
- OT-657
- Practice address
- 600 N Robbins Rd
Ste 100
Boise, ID 83702-4566 - Phone
- (208) 383-0201
- Fax
- (208) 489-4249
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Physical Therapist | 2251H1200X | OT-657 | Primary |
Addresses
Primary practice location
600 N Robbins Rd
Ste 100
Boise, ID 83702-4566
Mailing address
600 N Robbins Rd
Ste 401
Boise, ID 83702-4566
Phone (208) 383-0201
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1655913 | Other | ID | HUMANA |
| W0988 | Other | ID | BLUE CROSS OF IDAHO |
| P00181938 | Other | ID | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Orthopaedic PLLC | Past | Accepting new patients | |
| Intermountain Orthopaedics Specialists | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Boise, ID
- NPI 1336392448
-
- Orthopaedic Surgery Physician
- Boise, ID
- NPI 1902913379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1104838325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N ROBBINS RD",
"address_2": "STE 401",
"city": "BOISE",
"state": "ID",
"postal_code": "837024566",
"telephone_number": "208-383-0201",
"fax_number": "208-489-4249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N ROBBINS RD",
"address_2": "STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "837024566",
"telephone_number": "208-383-0201",
"fax_number": "208-489-4249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMMON",
"first_name": "CHRISTOPHER",
"middle_name": "D",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": null,
"license": "OT-657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1655913",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "W0988",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00181938",
"state": "ID"
}
],
"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 Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.