NPIMap

Organization Active NPI

Advanced Therapy Care PLLC

  • Hearing and Speech Clinic/Center
  • Mountain Home, ID
National Provider Identifier
1477786358
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
SLP1211 Issued in ID
Legal business name
ADVANCED THERAPY CARE PLLC
Practice address
245 N 3Rd E
Mountain Home, ID 83647-2734
Phone
(208) 587-8255
Fax
(208) 587-4475
NPI assigned
Aug 26, 2009
Last updated
Aug 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Miss Rachelle Owsley Ruffing, MS CCC SLPNPI 1255467569
Title
Member
Phone
(208) 587-8255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X SLP1211 ID Primary

Addresses

Primary practice location

245 N 3Rd E
Mountain Home, ID 83647-2734

Mailing address

PO Box 603
245 North Third East Ave.
Mountain Home, ID 83647-0603
Phone (208) 587-8255

National Provider Directory

National Provider Directory

Locations

68 S Baltic Pl
Meridian, ID 83642
Phone (208) 324-8888

245 N 3rd E
Mtn Home, ID 83647
Phone (208) 587-8255

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1477786358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603",
            "address_2": "245 NORTH THIRD EAST AVE.",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836470603",
            "telephone_number": "208-587-8255",
            "fax_number": "208-587-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N 3RD E",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836472734",
            "telephone_number": "208-587-8255",
            "fax_number": "208-587-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAPY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "RUFFING",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "OWSLEY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-587-8255",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "ID",
            "license": "SLP1211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.