Jana Nicole Repulski, PT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1158 Issued in ID

Practice address

533 S Rivershore LN
Suite 120
Eagle, ID 83616-4979

Phone

(208) 938-8020

Fax

(208) 938-8016

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Physiotherapy P.a.

  • Physical Therapist
  • Eagle, ID
  • NPI 1306852850
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1801846498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836161328",
            "telephone_number": "208-938-8020",
            "fax_number": "208-938-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S RIVERSHORE LN",
            "address_2": "SUITE 120",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164979",
            "telephone_number": "208-938-8020",
            "fax_number": "208-938-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPULSKI",
        "first_name": "JANA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "PT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT1158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807415500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin M Reed
• Daniel C Reed, MD
• Lisa R Rendon, M.D.
• Renew Wellness LLC
• Renu Medispa
• Returning to Self LLC
• Revive Wellness and Aesthetics
• Diana Reyes
• Leisa Rhead, MSW GRADUATE STUDENT
• Kathryn N Rice, D.P.T.

• Physical Therapist in Eagle, ID
• Providers in Eagle, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.