Danielle S Jarvis, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT863 Issued in ID

Practice address

448 S Maple Grove Rd
Boise, ID 83709

Phone

(208) 859-9953

Fax

(208) 629-3155

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Myofascial Release Treatment Center of Idaho LLC

  • Physical Therapy Clinic/Center
  • Boise, ID
  • NPI 1295897213
  NPD (past)
• Relax a Back Bodyworks LLC

  • Physical Therapist
  • Boise, ID
  • NPI 1558381160
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659433894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11337 VALLEY HEIGHTS CIR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837096645",
            "telephone_number": "208-562-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 S MAPLE GROVE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83709",
            "telephone_number": "208-859-9953",
            "fax_number": "208-629-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "DANIELLE",
        "middle_name": "S",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "TD450",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010154466",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Reed Jarivs, DMD, MS
• Joshua Paul Jarman, MD
• Amy Jaros
• Jordyn Jarrett, NP
• Danielle Marie Jarvis
• Mary Catherine Jarvis, LCPC
• Presley Danielle Jarvis, LPC
• Jason Champagne Idaho 1, PLLC
• Jason Champagne Idaho 2, PLLC
• Jason Champagne Idaho 3, PLLC

• 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 Jul 8, 2007; 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.