Linda Ann Chatburn, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA032 Issued in ID

Practice address

1556 S Timesquare LN
Boise, ID 83709-8269

Phone

(208) 321-7831

Fax

(208) 323-7651

NPI assigned

Dec 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Myofascial Release Treatment Center of Idaho LLC

  dba Myofascial Release Center of Idaho

  • Physical Therapy Clinic/Center
  • Boise, ID
  • NPI 1295897213
  NPD (past) Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437219185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 S PEPPERTREE AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837167114",
            "telephone_number": "208-344-6311",
            "fax_number": "208-321-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 S TIMESQUARE LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837098269",
            "telephone_number": "208-321-7831",
            "fax_number": "208-323-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATBURN",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "PTA032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Chase
• Jeffrey Chase, DO
• Katie Chase, COTA/L
• Sarah Adele Chase, LCSW
• Stephanie Christine Chase, PHARMD
• Bradley Chatlin, MD
• Chatterton Speech Therapy, LLC (Center for Orofacial Myology)
• Rian Noel Chatterton, MS, CCC-SLP, COM,QOM
• Charmaine Chavez
• Shawn Chavez, LMT

• Physical Therapy Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.