Organization Active NPI

Orchard Physical Therapy

  • Physical Therapist
  • Boise, ID
National Provider Identifier
1750588679
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-378 Issued in ID
Legal business name
ORCHARD PHYSICAL THERAPY
Practice address
3115 Sycamore Dr
Boise, ID 83703-4129
Phone
(208) 343-7726
Fax
(208) 343-1271
NPI assigned
Jul 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dennis J Orchard, R.P.T.
Title
President
Phone
(208) 343-7726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT-378 ID Primary

Addresses

Primary practice location

3115 Sycamore Dr
Boise, ID 83703-4129

Mailing address

3115 Sycamore Dr
Boise, ID 83703-4129
Phone (208) 343-7726

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750588679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 SYCAMORE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837034129",
            "telephone_number": "208-343-7726",
            "fax_number": "208-343-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 SYCAMORE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837034129",
            "telephone_number": "208-343-7726",
            "fax_number": "208-343-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORCHARD",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-343-7726",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-378",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.