Steven Merrill Bastian, DPT
Individual provider Active NPI Physical Therapist · Nampa, ID
NPI 1669602256 · NPPES record last updated Dec 6, 2016
Key facts
- NPI
- 1669602256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2932 (ID)
- Practice address
- 130 S Midland Blvd
Nampa, ID 83686-2601 - Phone
- (208) 461-5057
- Fax
- (208) 461-5210
- NPI assigned
- Jul 17, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sawtooth Physical Therapy
CSRM LLC
Practice addresses (Care Compare)
16816 N Marketplace Blvd
Nampa, ID 83687-5140
Phone (208) 461-9593
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120118000428 | ID | Practitioner - Physical Therapist in Private Practice | 9931255130 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2932 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CSRM LLC | Physical Therapist | Current |
Accepting new patients |
| Sawtooth Physical Therapy | Physical Therapist | Current |
Accepting new patients |
| CSRM LLC | Current |
Accepting new patients | |
| Sawtooth Physical Therapy | Current |
Accepting new patients |
Locations
7979 W Rifleman St
Ste 200
Boise, ID 83704
Phone (208) 377-3850
7979 W Rifleman St
Ste 100
Boise, ID 83704
Phone (208) 375-6133
3015 E Magic View Dr
Ste 100
Meridian, ID 83642
Phone (208) 887-3498
4842 N Cortona Way
Ste 100
Meridian, ID 83646
Phone (208) 888-8302
16816 N Marketplace Blvd
Nampa, ID 83687
Phone (208) 461-9593
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2932 | ID | Yes |
Addresses
Primary practice location
130 S Midland Blvd
Nampa, ID 83686-2601
Mailing address
1906 Fairview Ave
Ste 410
Caldwell, ID 83605-5407
Phone (208) 454-9839
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.