Individual provider Active NPI

Timothy Lloyd Danley, PT, DPT

  • Physical Therapist
  • Boise, ID
National Provider Identifier
1134969223
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-9015 Issued in ID
Practice address
2302 N Bogus Basin Rd Ste C
Boise, ID 83702-1024
Phone
(208) 344-0737
Fax
(208) 344-0759
NPI assigned
May 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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 PT-9015 ID Primary

Addresses

Primary practice location

2302 N Bogus Basin Rd Ste C
Boise, ID 83702-1024

Mailing address

2302 N Bogus Basin Rd Ste C
Boise, ID 83702-1024
Phone (208) 344-0737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240622000128 ID Practitioner - Physical Therapist in Private Practice 1759824436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy at Thrive, LLCGroup PAC ID 4486705217, 6 clinicians

Practice addresses (Care Compare)

2302 N Bogus Basin Rd
Suite C
Boise, ID 83702-1024
Phone (208) 344-0737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy at Thrive, LLC CurrentSince May 23, 2024 Accepting new patients

Locations

2302 N Bogus Basin Rd
Ste C
Boise, ID 83702
Phone (208) 344-0730

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": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1134969223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 N BOGUS BASIN RD STE C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837021024",
            "telephone_number": "208-344-0737",
            "fax_number": "208-344-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 N BOGUS BASIN RD STE C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837021024",
            "telephone_number": "208-344-0737",
            "fax_number": "208-344-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANLEY",
        "first_name": "TIMOTHY",
        "middle_name": "LLOYD",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-9015",
            "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 28, 2024; 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.