Individual provider Active NPI

Janine Cornelia Ropp, PT

  • Physical Therapist
  • Nampa, ID
National Provider Identifier
1124451356
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT565 Issued in ID
Practice address
290 W Georgia Ave
Nampa, ID 83686-2835
Phone
(208) 288-4991
NPI assigned
Aug 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT565 ID Primary

Addresses

Primary practice location

290 W Georgia Ave
Nampa, ID 83686-2835

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222

Other names 1

  • Janine Cornelia Van Nus Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929000684 ID Practitioner - Physical Therapist in Private Practice 9830168608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT565IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Durham Family Medicine, PLLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

8921 W Hackamore Dr
Boise, ID 83709
Phone (208) 375-1105

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIBDDD

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": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1124451356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 W GEORGIA AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862835",
            "telephone_number": "208-288-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROPP",
        "first_name": "JANINE",
        "middle_name": "CORNELIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANINE",
            "last_name": "VAN NUS",
            "middle_name": "CORNELIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.

Verify at the official NPI Registry.