Active NPI
Treasure Valley Rehabilitation
- Orthopedic Physical Therapist
- Caldwell, ID
National Provider Identifier
1235458654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT-2172
- Legal business name
- TREASURE VALLEY REHABILITATION
- Practice address
- 524 Cleveland Blvd Ste 110
Caldwell, ID 83605-4079 - Phone
- (208) 695-6688
- NPI assigned
- May 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Boyd S Ricks, OTR/L, DPT
- Title
- Owner, Therapist
- Phone
- (208) 695-6688
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT-2172 | ID | Primary |
| Occupational Therapist | 225X00000X | OT-810 | ID |
Addresses
Primary practice location
524 Cleveland Blvd Ste 110
Caldwell, ID 83605-4079
Mailing address
524 E Cleveland Blvd Ste 110
Caldwell, ID 83605
Phone (208) 695-6688
National Provider Directory
National Provider DirectoryLocations
524 Cleveland Blvd
Ste 110
Caldwell, ID 83605
Phone (208) 455-5010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- Caldwell, ID
- NPI 1881940757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274745600000",
"number": "1235458654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 E CLEVELAND BLVD STE 110",
"city": "CALDWELL",
"state": "ID",
"postal_code": "83605",
"telephone_number": "208-695-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 CLEVELAND BLVD STE 110",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836054079",
"telephone_number": "208-695-6688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREASURE VALLEY REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-25",
"last_updated": "2010-05-25",
"status": "A",
"authorized_official_last_name": "RICKS",
"authorized_official_first_name": "BOYD",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER, THERAPIST",
"authorized_official_telephone_number": "208-695-6688",
"authorized_official_credential": "OTR/L, DPT"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "ID",
"license": "PT-2172",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT-810",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.