Individual provider Active NPI

Brett Andrew Pierce, PT

  • Physical Therapist
  • Meridian, ID
National Provider Identifier
1740614569
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-3309 Issued in ID
Practice address
2470 N Stokesberry PL
Meridian, ID 83646-5035
Phone
(208) 884-8323
NPI assigned
Aug 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-3309 ID Primary

Addresses

Primary practice location

2470 N Stokesberry PL
Meridian, ID 83646-5035

Mailing address

1532 W Cayuse Creek Dr
Meridian, ID 83646-4795
Phone (208) 996-6612

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140129001941 ID Practitioner - Physical Therapist in Private Practice 5597994251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pierce Physical Therapy and Sports Rehab LLCGroup PAC ID 6305106857, 3 clinicians

Practice addresses (Care Compare)

4771 N Summit Way
Suite 100
Meridian, ID 83646-5017
Phone (208) 996-6612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-3309IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pierce Physical Therapy and Sports Rehab LLC Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients
Aspen Chiropractic, PC PastSince Aug 16, 2009 Accepting new patients

Locations

1532 W Cayuse Creek Dr
Meridian, ID 83646
Phone (208) 898-1382

4771 N Summit Way
#100
Meridian, ID 83646
Phone (208) 629-0656

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1740614569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 W CAYUSE CREEK DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836464795",
            "telephone_number": "208-996-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 N STOKESBERRY PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465035",
            "telephone_number": "208-884-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "BRETT",
        "middle_name": "ANDREW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-28",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-3309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.