Individual provider Active NPI

Steven Merrill Bastian, DPT

  • Physical Therapist
  • Nampa, ID
National Provider Identifier
1669602256
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2932 Issued in ID
Practice address
130 S Midland Blvd
Nampa, ID 83686-2601
Phone
(208) 461-5057
Fax
(208) 461-5210
NPI assigned
Jul 17, 2009
Last updated
Dec 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2932 ID Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000428 ID Practitioner - Physical Therapist in Private Practice 9931255130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sawtooth Physical TherapyGroup PAC ID 1759552961, 22 clinicians
CSRM LLCGroup PAC ID 4789078312, 22 clinicians

Practice addresses (Care Compare)

16816 N Marketplace Blvd
Nampa, ID 83687-5140
Phone (208) 461-9593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2354NVMDGeneral Practice Dentistry
2932IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sawtooth Physical Therapy CurrentSince Jan 18, 2023 Accepting new patients
Sawtooth Physical Therapy Physical Therapist CurrentSince Jan 18, 2023 Accepting new patients
CSRM LLC CurrentSince Jan 18, 2023 Accepting new patients
CSRM LLC Physical Therapist CurrentSince Jan 18, 2023 Accepting new patients

Locations

7979 W Rifleman St
Ste 100
Boise, ID 83704
Phone (208) 375-6133

7979 W Rifleman St
Ste 200
Boise, ID 83704
Phone (208) 377-3850

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1669602256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 FAIRVIEW AVE",
            "address_2": "STE 410",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055407",
            "telephone_number": "208-454-9839",
            "fax_number": "208-454-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MIDLAND BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862601",
            "telephone_number": "208-461-5057",
            "fax_number": "208-461-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIAN",
        "first_name": "STEVEN",
        "middle_name": "MERRILL",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-17",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "2932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.