Active NPI
Rebecca Lynn Cushing
- Massage Therapist
- Boise, ID
National Provider Identifier
1801251244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MASG2257
- Practice address
- 5909 W. State St
Boise, ID 83703 - Phone
- (208) 343-7700
- Fax
- (208) 331-2591
- NPI assigned
- Dec 30, 2015
- Last updated
- Dec 30, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MASG2257 | Primary |
Addresses
Primary practice location
5909 W. State St
Boise, ID 83703
Mailing address
5909 W. State St.
Physical Therapy 180
Boise, ID 83703
Phone (208) 343-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MASG2257 | Other | ID | LICENSE |
Other names 1
- Rebecca Lynn Amandus
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy 180 LLC | Past | Accepting new patients | |
| Peregrine Physical Therapy LLC | Past | Accepting new patients |
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": "1451433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1801251244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5909 W. STATE ST.",
"address_2": "PHYSICAL THERAPY 180",
"city": "BOISE",
"state": "ID",
"postal_code": "83703",
"telephone_number": "208-343-7700",
"fax_number": "208-331-2591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5909 W. STATE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "83703",
"telephone_number": "208-343-7700",
"fax_number": "208-331-2591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSHING",
"first_name": "REBECCA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-30",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": "MASG2257",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MASG2257",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "AMANDUS",
"middle_name": "LYNN",
"code": "5",
"type": "Other Name"
}
]
}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 Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.