Active NPI
Brian J Stanton, PT, DPT
- Physical Therapist
- Mountain Home, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1343415
- Practice address
- 1005 6TH South
Mountain Home, ID 83647-8364 - Phone
- (208) 587-1777
- NPI assigned
- Mar 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1343415 | TX | |
| Physical Therapist | 225100000X | 1343415 | ID | Primary |
Addresses
Primary practice location
1005 6TH South
Mountain Home, ID 83647-8364
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (951) 374-7288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1343415 | ID | MD | Physical Therapist |
| 1343415 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Rehabauthority, LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Institute of Physical Therapy and Fitness | Physical Therapist | Past | Accepting new patients |
Locations
5520 N Eagle Rd
Ste 102
Boise, ID 83713
Phone (208) 938-5255
720 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 322-8709
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
15600 NE 8th St
Ste E6
Bellevue, WA 98008
Phone (425) 214-7679
4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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ID, Physical Therapist
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- Physical Therapist
- Boise, ID
- NPI 1073551560
-
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
-
- Physical Therapist
- Yelm, WA
- NPI 1922283050
-
- Physical Therapist
- Auburn, WA
- NPI 1902808470
-
- Physical Therapist
- Lewiston, ID
- NPI 1043392087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1689269813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005",
"telephone_number": "951-374-7288",
"fax_number": "951-665-5099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 6TH SOUTH",
"city": "MOUNTAIN HOME",
"state": "ID",
"postal_code": "836478364",
"telephone_number": "208-587-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANTON",
"first_name": "BRIAN",
"middle_name": "J",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-09",
"last_updated": "2023-04-05",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1343415",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "1343415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.