NPIMap

Organization Active NPI

Treasure Valley Pelvic Health, LLC

  • Physical Therapist
  • Eagle, ID
National Provider Identifier
1689178469
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TREASURE VALLEY PELVIC HEALTH, LLC
Practice address
775 S Rivershore LN Ste 220
Eagle, ID 83616-5783
Phone
(208) 629-1030
Fax
(208) 346-7618
NPI assigned
Mar 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Chelsea Beyers, PT, DPT, OCSNPI 1598190571
Title
Owner/President
Phone
(208) 901-2964

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 Primary

Addresses

Primary practice location

775 S Rivershore LN Ste 220
Eagle, ID 83616-5783

Mailing address

775 S Rivershore LN Ste 220
Eagle, ID 83616-5783
Phone (208) 629-1030

Other practice location 1

2717 W Bannock St Ste 100
Boise, ID 83702-4758
Phone (208) 629-1030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181227001240 ID Part B Supplier - Clinic/Group Practice 4789929431 Receives reassigned benefits from 9 practitioners
Practice locations: Boise, ID; Eagle, ID

National Provider Directory

National Provider Directory

Locations

2717 W Bannock St
Ste 100
Boise, ID 83702
Phone (208) 629-1030

6560 W Emerald St
#124
Boise, ID 83704
Phone (208) 991-4526

775 S Rivershore Ln
Ste 220
Eagle, ID 83616
Phone (208) 435-8662

507 S Fitness Pl
Ste 110
Eagle, ID 83616
Phone (208) 629-1030

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1689178469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 S RIVERSHORE LN STE 220",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165783",
            "telephone_number": "208-629-1030",
            "fax_number": "208-346-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 S RIVERSHORE LN STE 220",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165783",
            "telephone_number": "208-629-1030",
            "fax_number": "208-346-7618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2717 W Bannock St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837024758",
            "country_code": "US",
            "telephone_number": "208-629-1030",
            "fax_number": "208-346-7618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TREASURE VALLEY PELVIC HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "BEYERS",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-901-2964",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.