NPIMap

Organization Active NPI

Idaho State University

Doing business as Idaho State University Physical and Occupational Therapy Associates

  • Physical Therapist
  • Pocatello, ID
National Provider Identifier
1356491187
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
IDAHO STATE UNIVERSITY
Doing business as
Idaho State University Physical and Occupational Therapy Associates
Practice address
1400 E. Terry
Garrison BLDG. 63 #202
Pocatello, ID 83209-8045
Phone
(208) 282-2590
Fax
(208) 282-4962
NPI assigned
Jan 12, 2007
Last updated
May 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Dr. Cindy Seiger, PT, PHDNPI 1548467509
Title
Department Chair
Phone
(208) 282-4095

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X ID Primary
Neurology Physical Therapist 2251N0400X ID
Pediatric Physical Therapist 2251P0200X ID
Orthopedic Physical Therapist 2251X0800X ID

Addresses

Primary practice location

1400 E. Terry
Garrison BLDG. 63 #202
Pocatello, ID 83209-8045

Mailing address

921 S 8TH Ave
Mail Stop 8045
Pocatello, ID 83209-0001
Phone (208) 282-2590

Other names 1

  • Idaho State University Physical and Occupational Therapy Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060412000292 ID Part B Supplier - Clinic/Group Practice 4688683030 Receives reassigned benefits from 39 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pocatello, ID; Salmon, ID; Meridian, ID

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Idaho State University22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

1311 E Central Dr
Ste 1
Meridian, ID 83642

921 S 8th Ave
Stop 8045
Pocatello, ID 83209
Phone (253) 293-9770

921 S 8th Ave
Stop 8116
Pocatello, ID 83209
Phone (208) 282-3495

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1356491187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S 8TH AVE",
            "address_2": "MAIL STOP 8045",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832090001",
            "telephone_number": "208-282-2590",
            "fax_number": "208-282-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E. TERRY",
            "address_2": "GARRISON BLDG. 63 #202",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832098045",
            "telephone_number": "208-282-2590",
            "fax_number": "208-282-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "SEIGER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "DEPARTMENT CHAIR",
        "authorized_official_telephone_number": "208-282-4095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, PHD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": null,
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ID",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idaho State University Physical and Occupational Therapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.