Organization Active NPI

Current Physical Therapy Weiser LLC

  • Physical Therapist
  • Weiser, ID
National Provider Identifier
1336814250
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CURRENT PHYSICAL THERAPY WEISER LLC
Practice address
770 E. 1St St. Suite B
Weiser, ID 83672
Phone
(208) 718-0827
NPI assigned
Aug 12, 2021
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Nicholas Hartley, DPTNPI 1699166843
Title
Provider/Owner
Phone
(541) 212-0037

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 Therapist 225100000X Primary

Addresses

Primary practice location

770 E. 1St St. Suite B
Weiser, ID 83672

Mailing address

770 E. 1St St. Suite B
Weiser, ID 83672
Phone (208) 718-0827

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220330002496 ID Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1951791136 Receives reassigned benefits from 5 practitioners
Practice locations: Weiser, ID

National Provider Directory

National Provider Directory

Locations

770 E 1st St
#B
Weiser, ID 83672
Phone (208) 718-0827

Practitioners & affiliated clinicians

Practitioners 5

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": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1336814250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 E. 1ST ST. SUITE B",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "83672",
            "telephone_number": "208-718-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 E. 1ST ST. SUITE B",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "83672",
            "telephone_number": "208-718-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURRENT PHYSICAL THERAPY WEISER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2022-01-31",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "541-212-0037",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weiser, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.