Anthony Todd Peppley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1520 Issued in ID

Practice address

457 S Fitness PL
Suite 100
Eagle, ID 83616-6568

Phone

(208) 939-3332

Fax

(208) 939-3338

NPI assigned

Aug 20, 2006

Last updated

Feb 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rebound Physical Therapy PCGroup PAC ID 4284665639, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rebound Physical Therapy PC

  • Physical Therapist
  • Boise, ID
  • NPI 1891882486
  Medicare reassignment Care Compare group NPD
• Eagle Physical Therapy PA

  • Physical Therapist
  • Eagle, ID
  • NPI 1750478327
  Medicare reassignment NPD
• RS Physical Therapy PC

  dba Rebound Physical Therapy

  • Physical Therapist
  • Meridian, ID
  • NPI 1154969533
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1144335860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 S FITNESS PL",
            "address_2": "STE 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166568",
            "telephone_number": "208-939-3332",
            "fax_number": "208-939-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 S FITNESS PL",
            "address_2": "SUITE 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166568",
            "telephone_number": "208-939-3332",
            "fax_number": "208-939-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPLEY",
        "first_name": "ANTHONY",
        "middle_name": "TODD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010028601",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRUE BLUE",
            "identifier": "T4363",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806054500",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORK",
            "identifier": "11347663",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "T4363",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WA DEPT OF LABOR",
            "identifier": "P00165209",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Lamont Payne, DC
• James Michael Pease, PTA
• Peine Metabolic Wellness Center
• Peine Osteopathic Medicine PLLC
• Christopher C Peine, D.O.
• Renee Perran
• Trenton Lucas Perry, PA
• Ramsay L Peters
• Samuel Petersen, DMD
• Taryn Peterson

• Physical Therapist in Eagle, ID
• Providers in Eagle, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.