Idaho Spine and Sports Physical Therapy - Silverstone

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2983 Issued in ID

Legal business name

IDAHO SPINE AND SPORTS PHYSICAL THERAPY - SILVERSTONE

Practice address

2316 S Eagle Rd
Meridian, ID 83642-2665

Phone

(208) 286-2707

Fax

(208) 286-2743

NPI assigned

May 5, 2017

Last updated

May 5, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

IDAHO SPINE & SPORTS PHYSICAL THERAPYAs reported in NPPES

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

Authorized official

Name

Robert Bret Adams, PTNPI 1881775633

Title

Owner/Partner

Phone

(208) 939-0533

Specialties & licenses 1

Addresses

Part of

ZRJ Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Bret Adams, MPT

  • Physical Therapist
  • Boise, ID
  • NPI 1881775633
  NPD Authorized official

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1245766518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422665",
            "telephone_number": "208-286-2707",
            "fax_number": "208-286-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422665",
            "telephone_number": "208-286-2707",
            "fax_number": "208-286-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO SPINE AND SPORTS PHYSICAL THERAPY - SILVERSTONE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IDAHO SPINE & SPORTS PHYSICAL THERAPY",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRET",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "208-939-0533",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Pediatric Therapy Clinic PLLC
• Idaho Physical Medicine and Rehabilitation PA
• Idaho Physical Medicine and Rehabilitation PA
• Idaho Sleep and Wellness LLC
• Idaho Spine & Pain PLLC
• Idaho Sports Bracing Inc
• Idaho State University (ISU Meridian Counseling Clinic)
• Idaho State University
• Idaho State University
• Idaho State University (ISU Nutrition Clinic)

• Physical Therapist in Meridian, ID
• Providers in Meridian, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.