Individual provider Active NPI

Alyssa Parco, DPT

  • Physical Therapist
  • Kuna, ID
National Provider Identifier
1225782212
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-7889 Issued in ID
Practice address
672 E Wythe Creek CT Ste 103
Kuna, ID 83634-5216
Phone
(208) 922-9828
NPI assigned
Feb 8, 2022
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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 PT-7889 ID Primary

Addresses

Primary practice location

672 E Wythe Creek CT Ste 103
Kuna, ID 83634-5216

Mailing address

4318 S Da Vinci Way
Meridian, ID 83642-9077
Phone (952) 412-1455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221207001676 ID Practitioner - Physical Therapist in Private Practice 7113396557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Physical Therapy Inc PSGroup PAC ID 6305747643, 44 clinicians

Practice addresses (Care Compare)

5560 E Franklin Rd
Nampa, ID 83687-8450
Phone (208) 463-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-7889IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince May 23, 2025 Accepting new patients
Columbia Physical Therapy Inc PS Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients

Locations

672 E Wythe Creek Ct
Ste 103
Kuna, ID 83634
Phone (208) 922-9828

2470 N Stokesberry Pl
Meridian, ID 83646
Phone (208) 884-8323

5560 E Franklin Rd
Nampa, ID 83687
Phone (208) 463-0700

7201 W Clearwater Ave
Kennewick, WA 99336

7201 W Clearwater Ave
Ste B101
Kennewick, WA 99336
Phone (509) 544-0265

Organizations & group practices 2

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": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1225782212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 S DA VINCI WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429077",
            "telephone_number": "952-412-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 E WYTHE CREEK CT STE 103",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836345216",
            "telephone_number": "208-922-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARCO",
        "first_name": "ALYSSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-7889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kuna, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.