Active NPI
Nancy McCullough, OTR
- Hand Physical Therapist
- Boise, ID
National Provider Identifier
1215949433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Physical Therapist
- License
- OT-008
- Practice address
- 600 N Robbins Rd
Ste 100
Boise, ID 83702-4566 - Phone
- (208) 383-0201
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hand Physical Therapist | 2251H1200X | OT-008 | Primary |
Addresses
Primary practice location
600 N Robbins Rd
Ste 100
Boise, ID 83702-4566
Mailing address
600 N Robbins Rd
Ste 401
Boise, ID 83702-4566
Phone (208) 383-0201
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1215949433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N ROBBINS RD",
"address_2": "STE 401",
"city": "BOISE",
"state": "ID",
"postal_code": "837024566",
"telephone_number": "208-383-0201",
"fax_number": "208-489-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N ROBBINS RD",
"address_2": "STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "837024566",
"telephone_number": "208-383-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOUGH",
"first_name": "NANCY",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": null,
"license": "OT-008",
"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 Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.