NPIMap

Organization Active NPI

Scolispine PLLC

  • Physical Therapy Clinic/Center
  • Boise, ID
National Provider Identifier
1285142323
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT-5381 Issued in ID
Legal business name
SCOLISPINE PLLC
Doing business as
ScoliSpine PLLC
Practice address
7219 W Potomac Dr
Boise, ID 83704-9182
Phone
(208) 908-8540
Fax
(208) 908-0095
NPI assigned
Jan 10, 2018
Last updated
Jan 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Rita Miller, PTNPI 1841487543
Title
Owner
Phone
(208) 908-8540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT-5381 ID Primary

Addresses

Primary practice location

7219 W Potomac Dr
Boise, ID 83704-9182

Mailing address

2157 S Pebblecreek LN
Boise, ID 83706-6123
Phone (209) 908-8540

Other practice location 1

2157 S Pebblecreek Ln
Boise, ID 83706-6123
Phone (209) 908-8540

Other names 1

  • ScoliSpine PLLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://janeapp.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230227001028 ID Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3779956503 Receives reassigned benefits from 3 practitioners
Practice locations: Boise, ID; Nampa, ID

National Provider Directory

National Provider Directory

Locations

7219 W Potomac Dr
Boise, ID 83704
Phone (208) 908-8540

9464 W Fairview Ave
Boise, ID 83704
Phone (208) 908-8540

16211 N Brinson St
Spc 100
Nampa, ID 83687
Phone (208) 860-2698

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1285142323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 S PEBBLECREEK LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066123",
            "telephone_number": "209-908-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 W POTOMAC DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049182",
            "telephone_number": "208-908-8540",
            "fax_number": "208-908-0095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2157 S Pebblecreek Ln",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837066123",
            "country_code": "US",
            "telephone_number": "209-908-8540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCOLISPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-908-8540",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ID",
            "license": "PT-5381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://janeapp.com",
            "affiliation": "N",
            "endpointDescription": "Jane",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7219 W Potomac Dr",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837049182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ScoliSpine PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.