Active NPI
Linda None Reiss, PT
- Physical Therapist
- Hailey, ID
National Provider Identifier
1548270622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1050
- Practice address
- 314 S. River St.
Hailey, ID 83333 - Phone
- (208) 788-6312
- Fax
- (208) 578-1053
- NPI assigned
- Aug 9, 2006
- 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 | 1050 | ID | Primary |
Addresses
Primary practice location
314 S. River St.
Hailey, ID 83333
Mailing address
101 River Bend Rd
Hailey, ID 83333-5139
Phone (208) 720-3632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1050 | ID | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548270622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RIVER BEND RD",
"city": "HAILEY",
"state": "ID",
"postal_code": "833335139",
"telephone_number": "208-720-3632",
"fax_number": "208-578-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 S. RIVER ST.",
"city": "HAILEY",
"state": "ID",
"postal_code": "83333",
"telephone_number": "208-788-6312",
"fax_number": "208-578-1053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISS",
"first_name": "LINDA",
"middle_name": "NONE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "1050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hailey, ID
Sources for this page
- 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.