Organization Active NPI

Doctors of Physical Therapy PLLC

  • Physical Therapist
  • Mountain Home, ID
National Provider Identifier
1376252114
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DOCTORS OF PHYSICAL THERAPY PLLC
Practice address
3195 E 8TH N
Mountain Home, ID 83647-5000
Phone
(208) 269-6290
Fax
(208) 450-2268
NPI assigned
Nov 21, 2022
Last updated
Nov 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Anson Call, DPTNPI 1215392204
Title
Owner
Phone
(208) 269-6290

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 NU Primary

Addresses

Primary practice location

3195 E 8TH N
Mountain Home, ID 83647-5000

Mailing address

3195 E 8TH N
Mountain Home, ID 83647-5000
Phone (208) 269-6290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230112000303 ID Part B Supplier - Clinic/Group Practice 2365812104 Receives reassigned benefits from 4 practitioners
Practice locations: Glenns Ferry, ID; Mountain Home, ID

National Provider Directory

National Provider Directory

Locations

3195 E 8th N
Mountain Home, ID 83647
Phone (208) 587-0047

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": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1376252114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 E 8TH N",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836475000",
            "telephone_number": "208-269-6290",
            "fax_number": "208-450-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 E 8TH N",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836475000",
            "telephone_number": "208-269-6290",
            "fax_number": "208-450-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS OF PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "CALL",
        "authorized_official_first_name": "ANSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-269-6290",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.