Athletic Training Center Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ATHLETIC TRAINING CENTER INC.

Practice address

10259 W Emerald St
Suite 160
Boise, ID 83704-8987

Phone

(208) 658-0602

Fax

(208) 377-1468

NPI assigned

Jul 14, 2006

Last updated

Sep 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keri Hine

Title

Vice President

Phone

(208) 870-9225

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James R Hague, M.D.

  • Anesthesiology Physician
  • Hailey, ID
  • NPI 1619909033
  NPD (past)
• Rajcoomar Issuree, RPT

  • Physical Therapist
  • Boise, ID
  • NPI 1841216009
  NPD (past)
• Margaret H Kaspar, MD

  • Anesthesiology Physician
  • Boise, ID
  • NPI 1215119110
  NPD (past)
• Ashlee Dagoberg, DPT

  • Physical Therapist
  • Grand Forks, ND
  • NPI 1881844199
  NPD (past)
• Elaine Nicole Key, MD

  • Anesthesiology Physician
  • San Antonio, TX
  • NPI 1144276734
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1629094883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836060147",
            "telephone_number": "208-455-1400",
            "fax_number": "208-455-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10259 W EMERALD ST",
            "address_2": "SUITE 160",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048987",
            "telephone_number": "208-658-0602",
            "fax_number": "208-377-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIC TRAINING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "HINE",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "208-870-9225"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010155883",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "8M840",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Scott Michael Astley, PA-C
• Katie Johnson Aston, LMSW
• Madeline P Ater, RPH
• Atkinson Psychology LLC
• Diane Atkinson, RN
• Irma Calnon Atkinson, MSW
• Jacob Atkinson, PSYD, ATR
• Kristie Rachele Atkinson, M.ED

• 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 Sep 3, 2008; 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.