Individual provider Active NPI

John Siler

  • Physical Therapy Assistant
  • Caldwell, ID
National Provider Identifier
1245067396
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA-8603 Issued in ID
Practice address
120 E Pine St
Caldwell, ID 83605-4836
Phone
(208) 454-5142
NPI assigned
Sep 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA-8603 ID Primary

Addresses

Primary practice location

120 E Pine St
Caldwell, ID 83605-4836

Mailing address

555 E 12TH St TRLR 2
Weiser, ID 83672-2473

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA-8603IDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabauthority, LLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

120 E Pine St
Caldwell, ID 83605
Phone (208) 454-5142

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.

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1245067396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E 12TH ST TRLR 2",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836722473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E PINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054836",
            "telephone_number": "208-454-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILER",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "PTA-8603",
            "primary": true
        }
    ],
    "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 Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.