Active NPI
Kevin T Voss
- Physical Therapist
- Boise, ID
National Provider Identifier
1740524214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2417
- Practice address
- 707 W Sullivan St
Boise, ID 83706-4755 - Phone
- (218) 791-5058
- NPI assigned
- Nov 21, 2012
- Last updated
- Nov 21, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-2417 | ID | Primary |
Addresses
Primary practice location
707 W Sullivan St
Boise, ID 83706-4755
Mailing address
707 W Sullivan St
Boise, ID 83706-4755
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-2417 | ID | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1740524214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 W SULLIVAN ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837064755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 W SULLIVAN ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837064755",
"telephone_number": "218-791-5058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOSS",
"first_name": "KEVIN",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-21",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-2417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.