Active NPI
Mountain View Physical Therapy, PC
- Physical Therapist
- Sandpoint, ID
National Provider Identifier
1467666065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1568
- 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, 2007
- 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
- Mary Ann Boyd, PT
- Title
- President
- Phone
- (208) 290-5575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TD630 | Other | ID | BLUE CROSS OF IDAHO |
National Provider Directory
National Provider DirectoryLocations
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.