Active NPI
Christine Jue, MPT
- Physical Therapist
- Boise, ID
National Provider Identifier
1154467629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- RPT1244
- 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, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010150283 | Other | ID | REGENCE BLUE SHIELD OF ID |
| TA500 | Other | ID | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| RPT1244 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Solutions PLLC | Physical Therapist | Past | 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.
-
dba Myofascial Release Center of Idaho
- Physical Therapy Clinic/Center
- Boise, ID
- NPI 1295897213
-
- Physical Therapist
- Boise, ID
- NPI 1558381160
-
- Physical Therapist
- Richland, WA
- NPI 1104830025
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.