Benjamin Nathaniel Shatto, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1883 Issued in ID

Practice address

7550 W Emerald St
Boise, ID 83704-9015

Phone

(208) 375-0666

Fax

(208) 375-2996

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ironwood Drive Physical Therapy, PA

  • Physical Therapist
  • Coeur D Alene, ID
  • NPI 1801812482
  NPD (past)
• Kinesis, LLC

  • Physical Therapist
  • Eagle, ID
  • NPI 1639378409
  NPD (past)
• McCall Physical Therapy, P.a.

  • Physical Therapist
  • McCall, ID
  • NPI 1750454104
  NPD (past)
• Rehabauthority, LLC

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1730159690

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1609960947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "951-374-7288",
            "fax_number": "951-666-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049015",
            "telephone_number": "208-375-0666",
            "fax_number": "208-375-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATTO",
        "first_name": "BENJAMIN",
        "middle_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill McKenzie Sharp, RN, BSN
• Maria Sharp
• Dustin Sharpe
• Jaimie L Sharpe, LCSW
• Terrence Christopher Michael Sharrer Jr., LMSW
• Jan Eilene Shaughnessy, LCSW
• Shauna T Williams MD PA
• Kathryn Kay Shaver-Fox, LMSW
• Rodger Shaver, MD
• Shaw Mountain of Cascadia, LLC

• Physical Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.