Active NPI
Katherine Simpson Rowe, PT
- Pediatric Physical Therapist
- Boise, ID
National Provider Identifier
1124199443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1860
- Practice address
- 1419 E Jefferson St
Boise, ID 83712-8018 - Phone
- (208) 867-9408
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1860 | ID | Primary |
Addresses
Primary practice location
1419 E Jefferson St
Boise, ID 83712-8018
Mailing address
1419 E Jefferson St
Boise, ID 83712-8018
Phone (208) 867-9408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1860 | ID | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleidoscope Pediatric Therapy LLC | Pediatrics | Current | Accepting new patients |
Locations
7211 W Franklin Rd
Boise, ID 83709
Phone (208) 375-4200
Organizations & group practices 1
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": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1124199443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 E JEFFERSON ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837128018",
"telephone_number": "208-867-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 E JEFFERSON ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837128018",
"telephone_number": "208-867-9408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWE",
"first_name": "KATHERINE",
"middle_name": "SIMPSON",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "ID",
"license": "1860",
"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 Feb 20, 2020; 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.