Active NPI
Madisen Taran
- Massage Therapist
- Boise, ID
National Provider Identifier
1598606337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3571879
- Practice address
- 4501 W Alamosa St
Boise, ID 83703-4325 - Phone
- (208) 507-8119
- NPI assigned
- Apr 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 3571879 | ID | Primary |
Addresses
Primary practice location
4501 W Alamosa St
Boise, ID 83703-4325
Mailing address
539 S Fitness PL Ste 150
Eagle, ID 83616-7035
Phone (208) 507-8119
Other practice location 1
539 S Fitness Pl Ste 150
Eagle, ID 83616-7035
Phone (208) 507-8119
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3571879 | ID | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Massage LLC | Single Specialty | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775260800000",
"number": "1598606337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 S FITNESS PL STE 150",
"city": "EAGLE",
"state": "ID",
"postal_code": "836167035",
"telephone_number": "208-507-8119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 W ALAMOSA ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837034325",
"telephone_number": "208-507-8119"
}
],
"practiceLocations": [
{
"address_1": "539 S Fitness Pl Ste 150",
"address_purpose": "LOCATION",
"city": "Eagle",
"state": "ID",
"postal_code": "836167035",
"country_code": "US",
"telephone_number": "208-507-8119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARAN",
"first_name": "MADISEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-04",
"last_updated": "2026-04-04",
"certification_date": "2026-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "ID",
"license": "3571879",
"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 Apr 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.