Active NPI
Cynthia Woodhouse, MPT
- Physical Therapist
- Eagle, ID
National Provider Identifier
1407096480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-5421
- Practice address
- 457 S Fitness PL Ste 100
Eagle, ID 83616-6568 - Phone
- (208) 939-3332
- Fax
- (208) 939-3338
- NPI assigned
- Mar 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT26948 | CA | |
| Physical Therapist | 225100000X | PT-5421 | ID | Primary |
Addresses
Primary practice location
457 S Fitness PL Ste 100
Eagle, ID 83616-6568
Mailing address
457 S Fitness PL Ste 100
Eagle, ID 83616-6568
Phone (208) 939-3332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4316 N Alester Ave
Meridian, ID 83646-7016
8854 W Emerald St
Suite 280
Boise, ID 83704-4830
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT26948 | CA | MD | Physical Therapist |
| PT-5421 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Centers of Idaho | Current | Accepting new patients |
Locations
8854 W Emerald St
Ste 280
Boise, ID 83704
Phone (208) 377-5005
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 Therapy Clinic/Center
- Boise, ID
- NPI 1184779514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1407096480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 S FITNESS PL STE 100",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166568",
"telephone_number": "208-939-3332",
"fax_number": "208-939-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 S FITNESS PL STE 100",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166568",
"telephone_number": "208-939-3332",
"fax_number": "208-939-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODHOUSE",
"first_name": "CYNTHIA",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT26948",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-5421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.