NPIMap

Organization Active NPI

Achieve Physical Therapy PLLC

  • Physical Therapist
  • Boise, ID
National Provider Identifier
1659540995
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2288 Issued in ID
Legal business name
ACHIEVE PHYSICAL THERAPY PLLC
Practice address
4776 N Five Mile Rd
Suite 101
Boise, ID 83713-2715
Phone
(208) 658-9500
Fax
(208) 658-9501
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Mr. Reid Jacob Patterson, MPTNPI 1750319745
Title
Physical Therapist
Phone
(208) 658-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2288 ID Primary

Addresses

Primary practice location

4776 N Five Mile Rd
Suite 101
Boise, ID 83713-2715

Mailing address

4776 N Five Mile Rd
Suite 101
Boise, ID 83713-2715
Phone (208) 658-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080508000757 ID Part B Supplier - Clinic/Group Practice 8820177314 Receives reassigned benefits from 6 practitioners
Practice locations: Garden Valley, ID; Horseshoe Bend, ID; Boise, ID

National Provider Directory

National Provider Directory

Locations

4776 N Five Mile Rd
Ste 101
Boise, ID 83713
Phone (208) 658-9500

288 Village Cir
Garden Valley, ID 83622

101 Locust St
Ste A
Horseshoe Bend, ID 83629

400 Highway 55
Horseshoe Bend, ID 83629
Phone (208) 658-9500

4740 N Penngrove Way
Ste 200
Meridian, ID 83646

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1659540995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4776 N FIVE MILE RD",
            "address_2": "SUITE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132715",
            "telephone_number": "208-658-9500",
            "fax_number": "208-658-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4776 N FIVE MILE RD",
            "address_2": "SUITE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132715",
            "telephone_number": "208-658-9500",
            "fax_number": "208-658-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "REID",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "208-658-9500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "2288",
            "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 May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.