Active NPI
Daniel Eichele
- Physical Therapist
- Mountain Home, ID
National Provider Identifier
1376964759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT9332
- Practice address
- 1005 W 6TH S
Mountain Home, ID 83647-3339 - Phone
- (208) 587-1777
- Fax
- (208) 587-1784
- NPI assigned
- Jan 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT9332 | ID | Primary |
Addresses
Primary practice location
1005 W 6TH S
Mountain Home, ID 83647-3339
Mailing address
7550 W Emerald St
Boise, ID 83704-9015
Phone (208) 375-0765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT9332 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCall Physical Therapy, P.a. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- McCall, ID
- NPI 1750454104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1376964759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7550 W EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837049015",
"telephone_number": "208-375-0765",
"fax_number": "208-375-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W 6TH S",
"city": "MOUNTAIN HOME",
"state": "ID",
"postal_code": "836473339",
"telephone_number": "208-587-1777",
"fax_number": "208-587-1784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHELE",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-02",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT9332",
"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 Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.