Active NPI
Premier Physical Therapy Inc
- Physical Therapy Clinic/Center
- Boise, ID
National Provider Identifier
1427565845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT-3052
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Therapist
- Eagle, ID
- NPI 1346934056
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.