Active NPI
Cameron Flaner, DPT
- Physical Therapist
- Meridian, ID
National Provider Identifier
1245036375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3271945
- Practice address
- 1649 E Pine Ave
Meridian, ID 83642-8135 - Phone
- (208) 917-2660
- NPI assigned
- Feb 20, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3271945 | ID | Primary |
Addresses
Primary practice location
1649 E Pine Ave
Meridian, ID 83642-8135
Mailing address
1649 E Pine Ave
Meridian, ID 83642-8135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250226003407 | ID | Practitioner - Physical Therapist in Private Practice | 5395265805 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rock and Armor Physical Therapy and Sports Performance, LLC
Practice addresses (Care Compare)
1649 E Pine Ave
Meridian, ID 83642-8135
Phone (208) 917-2660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3271945 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock and Armor Physical Therapy and Sports Performance, LLC | Physical Therapist | Current | Accepting new patients |
Locations
104 W 53rd St
Garden City, ID 83714
Phone (208) 375-5511
1649 E Pine Ave
Meridian, ID 83642
Phone (208) 917-2660
Organizations & group practices 1
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.
-
- Physical Therapist
- Meridian, ID
- NPI 1689089971
ID, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1245036375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1649 E PINE AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1649 E PINE AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428135",
"telephone_number": "208-917-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANER",
"first_name": "CAMERON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-20",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "3271945",
"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 Feb 20, 2025; 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.