Kim Kutzner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2817 Issued in ID

Practice address

2302 N Bogus Basin Rd
Boise, ID 83702-0902

Phone

(208) 344-0737

Fax

(208) 344-0759

NPI assigned

Nov 23, 2011

Last updated

Nov 23, 2011By the provider in NPPES

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Treasure Valley Pelvic Health LLCGroup PAC ID 4789929431, 9 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Treasure Valley Pelvic Health, LLC

  • Physical Therapist
  • Eagle, ID
  • NPI 1689178469
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1407123102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 BODLEY DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837097740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 N BOGUS BASIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837020902",
            "telephone_number": "208-344-0737",
            "fax_number": "208-344-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTZNER",
        "first_name": "KIM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeralyn Marie Kunz, PA-C
• Sivani S Kuruvada, MD
• Igor Kutin, DDS
• Kuty Inc (Mind Body Wellness)
• Jean Marie Kuty, LCPC
• Rahul P Kuver, M.D.
• Kuwt Jones, LLC (Home Instead 707)
• Merry Lynne Kuyper-Carson, RN, BSN, MSNE
• Benjamin A Kuznia, DPT
• Kaci Kyle

• Physical Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.