Individual provider Active NPI

Bret A Bastian, DPT

  • Physical Therapist
  • Cascade, ID
National Provider Identifier
1760798375
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
402 Lake Cascade Pkwy
Cascade, ID 83611-7702
Phone
(208) 382-3862
NPI assigned
Aug 20, 2010
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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 NU Primary

Addresses

Primary practice location

402 Lake Cascade Pkwy
Cascade, ID 83611-7702

Mailing address

PO Box 1330
Cascade, ID 83611-1330
Phone (208) 382-4242

Other practice location 1

454 W. Roseberry Road
Suite 102
Donnelly, ID 83615
Phone (208) 382-3862

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927001129 ID Practitioner - Physical Therapist in Private Practice 6608992649 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Physical Therapy PA CurrentSince Aug 23, 2010 Accepting new patients
Cascade Medical Center Hospital District Past Accepting new patients

Locations

1673 W Shoreline Dr
Ste 230
Boise, ID 83702
Phone (208) 343-4700

645 E State St
Ste 101
Eagle, ID 83616
Phone (208) 939-9594

1256 S Rackham Way
Ste 110
Meridian, ID 83642
Phone (208) 939-9594

1618 S Millenium Way
Ste 210
Meridian, ID 83642
Phone (208) 884-4647

Interoperability endpoints

  • Direct secure messaging: bret.bastian.1@15123.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1760798375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "CASCADE",
            "state": "ID",
            "postal_code": "836111330",
            "telephone_number": "208-382-4242",
            "fax_number": "208-382-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 LAKE CASCADE PKWY",
            "city": "CASCADE",
            "state": "ID",
            "postal_code": "836117702",
            "telephone_number": "208-382-3862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "454 W. Roseberry Road",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Donnelly",
            "state": "ID",
            "postal_code": "83615",
            "country_code": "US",
            "telephone_number": "208-382-3862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTIAN",
        "first_name": "BRET",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-20",
        "last_updated": "2025-06-18",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cascade, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.