Active NPI
Jordan Noel Steichen
- Physical Therapist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-6897
- Practice address
- 3040 N Five Mile Rd
Boise, ID 83713-5234 - Phone
- (208) 939-0533
- Fax
- (208) 939-3341
- NPI assigned
- Jun 20, 2020
- Last updated
- Oct 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-6897 | ID | Primary |
Addresses
Primary practice location
3040 N Five Mile Rd
Boise, ID 83713-5234
Mailing address
12072 W McMillan Rd
Boise, ID 83713-2462
Phone (208) 939-0533
Other practice location 1
12072 W McMillan Rd
Boise, ID 83713-2462
Phone (208) 939-0533
Other practice location 2
2316 S Eagle Rd
Meridian, ID 83642-2665
Phone (208) 939-0533
Other practice location 3
1525 S Orchard St
Boise, ID 83705-2620
Phone (208) 939-0533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-6897 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ZRJ Inc | Physical Therapist | Current | Accepting new patients |
Locations
12072 W McMillan Rd
Boise, ID 83713
Phone (208) 939-0533
3040 N Five Mile Rd
Boise, ID 83713
Phone (208) 252-6531
2316 S Eagle Rd
Meridian, ID 83642
Phone (208) 286-2707
Organizations & group practices 1
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": "1592611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1538785050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12072 W MCMILLAN RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837132462",
"telephone_number": "208-939-0533",
"fax_number": "208-939-3341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 N FIVE MILE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837135234",
"telephone_number": "208-939-0533",
"fax_number": "208-939-3341"
}
],
"practiceLocations": [
{
"address_1": "12072 W McMillan Rd",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837132462",
"country_code": "US",
"telephone_number": "208-939-0533",
"fax_number": "208-939-3341",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2316 S Eagle Rd",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836422665",
"country_code": "US",
"telephone_number": "208-939-0533",
"fax_number": "208-939-3341",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1525 S Orchard St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837052620",
"country_code": "US",
"telephone_number": "208-939-0533",
"fax_number": "208-939-3341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEICHEN",
"first_name": "JORDAN",
"middle_name": "NOEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-20",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-6897",
"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 Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.