Active NPI
Jami J Whiles, PT
- Physical Therapist
- Nampa, ID
National Provider Identifier
1558350587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1206
- Practice address
- 4400 E Flamingo Ave
Nampa, ID 83687-9203 - Phone
- (208) 288-4970
- Fax
- (208) 463-3044
- NPI assigned
- Oct 21, 2005
- 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 | PT1206 | ID | Primary |
Addresses
Primary practice location
4400 E Flamingo Ave
Nampa, ID 83687-9203
Mailing address
9652 W State St
Star, ID 83669-5858
Phone (208) 286-0766
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807197100 | Medicaid | ID | |
| PC332 | Other | ID | BLUE CROSS |
| 000010150364 | Other | ID | BLUE SHIELD |
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 |
|---|---|---|---|
| PT1206 | ID | MD | Physical Therapist |
| PT-1206 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Responders Health Center, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Boise, ID
- NPI 1912189481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1558350587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9652 W STATE ST",
"city": "STAR",
"state": "ID",
"postal_code": "836695858",
"telephone_number": "208-286-0766",
"fax_number": "208-286-0768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 E FLAMINGO AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836879203",
"telephone_number": "208-288-4970",
"fax_number": "208-463-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHILES",
"first_name": "JAMI",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-21",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT1206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807197100",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "PC332",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010150364",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.