Jenna Calhoun, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-3650 Issued in ID

Practice address

5418 N Eagle Rd Ste 170
Boise, ID 83713-0999

Phone

(208) 501-8264

Fax

(208) 514-1558

NPI assigned

Jan 7, 2015

Last updated

May 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restore Physical Therapy PCGroup PAC ID 0143503607, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Restore Physical Therapy PC

  • Physical Therapist
  • Boise, ID
  • NPI 1790236511
  Medicare reassignment Care Compare group NPD
• Sawtooth Physical Therapy

  • Physical Therapy Clinic/Center
  • Boise, ID
  • NPI 1013206002

  Physical Therapist

  Medicare reassignment NPD
• Sawtooth Physical Therapy

  • Hand Occupational Therapist
  • Meridian, ID
  • NPI 1003582040
  NPD

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1700274123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5418 N EAGLE RD STE 170",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130999",
            "telephone_number": "208-501-8264",
            "fax_number": "208-514-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5418 N EAGLE RD STE 170",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130999",
            "telephone_number": "208-501-8264",
            "fax_number": "208-514-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "JENNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60471103",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-3650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Calas, PHARMD
• James Sam Calderhead, MA
• Jessica Lauren Calderon
• Madison Caldwell, ACMHC, PCLC, LCPC
• Ryan Theodore Caldwell
• Robert F. Calhoun, PHD
• William W Calhoun
• Calico Pediatric Therapy Center, LLC
• Colin Calico, CRNA
• Larry Duane Calkins

• Physical Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.