Individual provider Active NPI

Rebecca Anne Tormey

  • Physical Therapist
  • Caldwell, ID
National Provider Identifier
1417224460
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-4894 Issued in ID
Practice address
1202 Talon CT
Caldwell, ID 83607-1579
Phone
(208) 550-1729
NPI assigned
Nov 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-4894 ID Primary

Addresses

Primary practice location

1202 Talon CT
Caldwell, ID 83607-1579

Mailing address

1202 Talon CT
Caldwell, ID 83607-1579
Phone (208) 550-1729

Other identifiers 1

IdentifierTypeStateIssuer
0001OtherUTUNIVERSITY OF UTAH

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

LicenseStateTypeSpecialty
PT-4894IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Clinic of Idaho PLLC CurrentSince May 1, 2023 Accepting new patients
Peregrine Physical Therapy LLC Physical Therapist PastSince Nov 28, 2016 Accepting new patients

Locations

3919 E Overland Rd
Meridian, ID 83642
Phone (208) 506-3618

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1417224460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 TALON CT",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836071579",
            "telephone_number": "208-550-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 TALON CT",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836071579",
            "telephone_number": "208-550-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORMEY",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-18",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-4894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY OF UTAH",
            "identifier": "0001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.