Table Rock Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

TABLE ROCK PHYSICAL THERAPY

Practice address

6098 E Grand Prairie Dr
Boise, ID 83716-4700

Phone

(208) 813-1330

NPI assigned

Oct 3, 2017

Organization subpart

No

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

Authorized official

Name

Jane Anne Madden, DPT

Title

Owner/Physical Therapist

Phone

(208) 813-1330

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1134639248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6098 E GRAND PRAIRIE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837164700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6098 E GRAND PRAIRIE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837164700",
            "telephone_number": "208-813-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABLE ROCK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "208-813-1330",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer E Szumski, DO
• Jessica Lee Szwec, PA-C
• Laura Ruth Szymanski, NP-C
• Majda Tabakovic, FNP
• Table Rock Oral Surgery PLLC
• Kendall Tacchini
• John Taffin
• Trevor E Tafoya, D.M.D.
• Haley Taggart
• Kara C Taggart, M.D.

• Physical Therapy Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapy Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.