Active NPI
Kathleen Bostic, PT,DPT,MOT,OTR/L
- Physical Therapist
- Twin Falls, ID
National Provider Identifier
1710334297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13347
- Practice address
- 222 Shoshone St E
Twin Falls, ID 83301-6105 - Phone
- (775) 530-5091
- NPI assigned
- May 16, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5024 | ID | |
| Occupational Therapist | 225X00000X | 1715 | ID | |
| Occupational Therapist | 225X00000X | 4285 | CO | |
| Physical Therapist | 225100000X | 13347 | CO | Primary |
Addresses
Primary practice location
222 Shoshone St E
Twin Falls, ID 83301-6105
Mailing address
2164 Nisqually St
Twin Falls, ID 83301-5687
Phone (775) 530-5091
Other practice location 1
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Phone (208) 814-1000
Other names 1
- Dr. Kathleen Malarchik
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 |
|---|---|---|---|
| 13347 | CO | MD | Physical Therapist |
| 5024 | ID | MD | Physical Therapist |
| 4285 | CO | MD | Occupational Therapist |
| 1715 | ID | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1710334297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2164 NISQUALLY ST",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015687",
"telephone_number": "775-530-5091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 SHOSHONE ST E",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833016105",
"telephone_number": "775-530-5091"
}
],
"practiceLocations": [
{
"address_1": "801 Pole Line Rd W",
"address_purpose": "LOCATION",
"city": "Twin Falls",
"state": "ID",
"postal_code": "833015810",
"country_code": "US",
"telephone_number": "208-814-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSTIC",
"first_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "PT,DPT,MOT,OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "5024",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "1715",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "4285",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "13347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "MALARCHIK",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.