Organization Active NPI

Premier Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Boise, ID
National Provider Identifier
1427565845
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT-3052 Issued in ID
Legal business name
PREMIER PHYSICAL THERAPY INC
Practice address
13967 W Wainwright Dr Ste 104
Boise, ID 83713-2094
Phone
(208) 908-6899
NPI assigned
Jan 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Authorized official

Name
Anthony Ray Book, PT, DPT
Title
Owner/Physical Therapist
Phone
(208) 890-4681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT-3052 ID Primary

Addresses

Primary practice location

13967 W Wainwright Dr Ste 104
Boise, ID 83713-2094

Mailing address

13967 W Wainwright Dr Ste 104
Boise, ID 83713-2094
Phone (208) 908-6899

National Provider Directory

National Provider Directory

Locations

13967 W Wainwright Dr
Ste 104
Boise, ID 83713
Phone (208) 908-6899

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1427565845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13967 W WAINWRIGHT DR STE 104",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132094",
            "telephone_number": "208-908-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13967 W WAINWRIGHT DR STE 104",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132094",
            "telephone_number": "208-908-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "BOOK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "208-890-4681",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ID",
            "license": "PT-3052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.