Individual provider Active NPI

Jason Storm McKee, DPT, PT

  • Physical Therapist
  • Boise, ID
National Provider Identifier
1427704048
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-7230 Issued in ID
Practice address
8854 W Emerald St Ste 280
Boise, ID 83704-4830
Phone
(208) 377-5005
NPI assigned
Feb 22, 2022
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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-7230 ID Primary

Addresses

Primary practice location

8854 W Emerald St Ste 280
Boise, ID 83704-4830

Mailing address

8854 W Emerald St Ste 280
Boise, ID 83704-4830
Phone (208) 377-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221216000737 ID Practitioner - Physical Therapist in Private Practice 2163891979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altitude Physical Therapy IncGroup PAC ID 0244267029, 10 clinicians

Practice addresses (Care Compare)

130 S Midland Blvd
Nampa, ID 83686-2601
Phone (208) 461-5057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-7230IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Centers of Idaho CurrentSince Feb 27, 2022 Accepting new patients
Advanced Family Medicine PLLC CurrentSince Feb 27, 2022 Accepting new patients
Altitude Physical Therapy, Inc. CurrentSince Oct 17, 2022 Accepting new patients

Locations

8854 W Emerald St
Ste 280
Boise, ID 83704
Phone (208) 377-5005

1906 Fairview Ave
Ste 410
Caldwell, ID 83605
Phone (208) 454-9839

2721 S 10th Ave
#105
Caldwell, ID 83605
Phone (208) 454-9839

130 S Midland Blvd
Nampa, ID 83686
Phone (208) 318-6214

Organizations & group practices 3

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": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1427704048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8854 W EMERALD ST STE 280",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044830",
            "telephone_number": "208-377-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8854 W EMERALD ST STE 280",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044830",
            "telephone_number": "208-377-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "JASON",
        "middle_name": "STORM",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-7230",
            "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 Feb 22, 2022; 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.