Active NPI
Madeline Christine Sage, DPT
- Physical Therapist
- Meridian, ID
National Provider Identifier
1679132880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-6131
- Practice address
- 520 S Eagle Rd
Meridian, ID 83642-6351 - Phone
- (208) 706-5000
- NPI assigned
- Jun 11, 2019
- Last updated
- Jun 11, 2019
- Sex
- Female
- 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 | PT-6131 | ID | Primary |
Addresses
Primary practice location
520 S Eagle Rd
Meridian, ID 83642-6351
Mailing address
1908 W Spaulding St
Boise, ID 83705-3549
Phone (661) 904-0514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-6131 | ID | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1679132880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 W SPAULDING ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837053549",
"telephone_number": "661-904-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S EAGLE RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426351",
"telephone_number": "208-706-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGE",
"first_name": "MADELINE",
"middle_name": "CHRISTINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-6131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
- Safety 1St Alert, LLC
- Sage and Stone Counseling and Wellness, PLLC
- Sage Diagnostics & Imaging
- Sage Midwifery
- Sage Research Foundation Inc (Crush the Curve Idaho Foundation, LLC)
- Saint Alphonsus Physician Services Inc (Saint Alphonsus Medical Group Meridian Health Plaza)
- Saint Alphonsus Physician Services Inc (Saint Alphonsus Medical Group Meridian)
- Saint Alphonsus Physician Services Inc (Saint Alphonsus Medical Group Ten Mile)
- Saint Alphonsus Regional Medical Center Inc (Saint Alphonsus Rehabilitation Services)
- Lauren Michelle Salas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.