Organization Active NPI

Mountain View Physical Therapy, PC

  • Physical Therapist
  • Sandpoint, ID
National Provider Identifier
1467666065
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1568 Issued in ID
Legal business name
MOUNTAIN VIEW PHYSICAL THERAPY, PC
Practice address
803 Pine St
Sandpoint, ID 83864-1828
Phone
(208) 290-5575
Fax
(208) 255-5830
NPI assigned
May 10, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Mary Ann Boyd, PT
Title
President
Phone
(208) 290-5575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1568 ID Primary

Addresses

Primary practice location

803 Pine St
Sandpoint, ID 83864-1828

Mailing address

803 Pine St
Sandpoint, ID 83864-1828
Phone (208) 290-5575

Other identifiers 1

IdentifierTypeStateIssuer
TD630OtherIDBLUE CROSS OF IDAHO

National Provider Directory

National Provider Directory

Locations

102 S Euclid Ave
Ste 212
Sandpoint, ID 83864
Phone (208) 290-5575

803 Pine St
Sandpoint, ID 83864
Phone (208) 290-5575

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1467666065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 PINE ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641828",
            "telephone_number": "208-290-5575",
            "fax_number": "208-255-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 PINE ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641828",
            "telephone_number": "208-290-5575",
            "fax_number": "208-255-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-290-5575",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "1568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "TD630",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.