Active NPI
Steven Merrill Bastian, DPT
- Physical Therapist
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2932
- 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, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2354 | NV | MD | General Practice Dentistry |
| 2932 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sawtooth Physical Therapy | Current | Accepting new patients | |
| Sawtooth Physical Therapy | Physical Therapist | Current | Accepting new patients |
| CSRM LLC | Current | Accepting new patients | |
| CSRM LLC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Boise, ID
- NPI 1013206002
Physical Therapist
-
- Hand Occupational Therapist
- Meridian, ID
- NPI 1003582040
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.