Individual provider Active NPI

Madisen Taran

  • Massage Therapist
  • Boise, ID
National Provider Identifier
1598606337
Registry record updated Apr 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
3571879 Issued in ID
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

Updated by the provider on Apr 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
3571879IDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Massage LLC Single Specialty PastSince Aug 27, 2023 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.

Verify at the official NPI Registry.