Marissa Mortensen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

16816 N Marketplace Blvd
Nampa, ID 83687-5140

Phone

(208) 461-9593

NPI assigned

Sep 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sawtooth Physical Therapy 22 clinicians

CSRM LLC 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• CSRM LLC

  • Physical Therapist
  • Boise, ID
  • NPI 1669132353

  ID, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Sawtooth Physical Therapy

  • Physical Therapy Clinic/Center
  • Boise, ID
  • NPI 1013206002

  ID, Physical Therapist

  Medicare reassignment Care Compare group NPD
• CSRM LLC

  • Hand Occupational Therapist
  • Nampa, ID
  • NPI 1306583109
  Care Compare group NPD
• Sawtooth Physical Therapy

  • Hand Occupational Therapist
  • Meridian, ID
  • NPI 1003582040
  Care Compare group NPD
• CSRM LLC

  • Hand Occupational Therapist
  • Boise, ID
  • NPI 1083337711
  Care Compare group
• CSRM LLC

  • Hand Occupational Therapist
  • Meridian, ID
  • NPI 1588301386
  Care Compare group
• Sawtooth Physical Therapy

  • Customized Equipment (DME)
  • Nampa, ID
  • NPI 1427659408
  Care Compare group

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1336925643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7979 W RIFLEMAN ST STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049066",
            "telephone_number": "208-377-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16816 N MARKETPLACE BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875140",
            "telephone_number": "208-461-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSEN",
        "first_name": "MARISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jandra Lee Morrow, OTR/L
• Kelsey Anne Morrow
• Sebastian Grey Morrow, M.D.
• Bailey Mortensen
• Joseph M. Mortensen, MD
• Faith Virginia Morton Phelps
• Eric Christopher Moss, PA
• Cooper Motyer
• Madison Motzner, PHARMD
• Samantha Jane Moulder

• All providers in Nampa, ID
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.