Active NPI
Michelle Louise Boisvert, PT
- Physical Therapist
- Meridian, ID
National Provider Identifier
1275745291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-921
- Practice address
- 6141 W Overland Rd
Meridian, ID 83642-6402 - Phone
- (208) 884-1322
- Fax
- (208) 884-1322
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PT-921 | ID | Primary |
Addresses
Primary practice location
6141 W Overland Rd
Meridian, ID 83642-6402
Mailing address
6141 W Overland Rd
Meridian, ID 83642-6402
Phone (208) 884-1322
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-921 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabauthority, LLC | Physical Therapist | Past | Accepting new patients |
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": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275745291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6141 W OVERLAND RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426402",
"telephone_number": "208-884-1322",
"fax_number": "208-884-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6141 W OVERLAND RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426402",
"telephone_number": "208-884-1322",
"fax_number": "208-884-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOISVERT",
"first_name": "MICHELLE",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-921",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.