Individual provider Active NPI

Christine Jue, MPT

  • Physical Therapist
  • Boise, ID
National Provider Identifier
1154467629
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
RPT1244 Issued in ID
Practice address
413 Allumbaugh St
Ste 102
Boise, ID 83704-9212
Phone
(208) 287-0993
Fax
(208) 287-0996
NPI assigned
Jan 30, 2007
Last updated
Dec 31, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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 RPT1244 ID Primary

Addresses

Primary practice location

413 Allumbaugh St
Ste 102
Boise, ID 83704-9212

Mailing address

2033 Anderson St
Boise, ID 83702-0840
Phone (208) 287-0993

Other identifiers 2

IdentifierTypeStateIssuer
000010150283OtherIDREGENCE BLUE SHIELD OF ID
TA500OtherIDBLUE CROSS OF IDAHO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RPT1244IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Solutions PLLC Physical Therapist PastSince Aug 16, 1999 Accepting new patients
Myofascial Release Treatment Center of Idaho LLC Past Accepting new patients
Relax a Back Bodyworks LLC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1154467629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 ANDERSON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837020840",
            "telephone_number": "208-287-0993",
            "fax_number": "208-287-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 ALLUMBAUGH ST",
            "address_2": "STE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049212",
            "telephone_number": "208-287-0993",
            "fax_number": "208-287-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUE",
        "first_name": "CHRISTINE",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "RPT1244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010150283",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "TA500",
            "state": "ID"
        }
    ],
    "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 Dec 31, 2007; 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.