Individual provider Active NPI

Steve King, RPT

  • Physical Therapist
  • Meridian, ID
National Provider Identifier
1184784571
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-6164 Issued in ID
Practice address
2204 E Lanark St Ste 100
Meridian, ID 83642-5916
Phone
(208) 908-7907
Fax
(208) 908-7935
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 11095 CA
Physical Therapist 225100000X PT-6164 ID Primary

Addresses

Primary practice location

2204 E Lanark St Ste 100
Meridian, ID 83642-5916

Mailing address

2204 E Lanark St Ste 100
Meridian, ID 83642-5916
Phone (925) 813-6429

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508000699 ID Practitioner - Physical Therapist in Private Practice 8022263250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RS Physical Therapy PCGroup PAC ID 9931537412, 2 clinicians

Practice addresses (Care Compare)

2204 E Lanark St
Suite 100
Meridian, ID 83642-5916
Phone (208) 908-7907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-6164IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RS Physical Therapy PC Physical Therapist CurrentSince May 16, 2024 Accepting new patients
Intermountain Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Intermountain Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

Locations

2204 E Lanark St
Ste 100
Meridian, ID 83642
Phone (208) 908-7907

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1184784571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 E LANARK ST STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425916",
            "telephone_number": "925-813-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 E LANARK ST STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425916",
            "telephone_number": "208-908-7907",
            "fax_number": "208-908-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "STEVE",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "11095",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-6164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.