Active NPI
Debra F Marquez, MS MPT
- Physical Therapist
- Boise, ID
National Provider Identifier
1811066558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1673 W Shoreline Dr
Suite 230
Boise, ID 83702 - Phone
- (208) 343-4700
- Fax
- (208) 343-4706
- NPI assigned
- Nov 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Physical Therapist | 225100000X | PT1247 | ID |
Addresses
Primary practice location
1673 W Shoreline Dr
Suite 230
Boise, ID 83702
Mailing address
1673 W Shoreline Dr
Suite 230
Boise, ID 83702
Phone (208) 343-4700
Other names 1
- Ms. Debra F Cunningham
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1247 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Physical Therapy PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Meridian, ID
- NPI 1851457675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1811066558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1673 W SHORELINE DR",
"address_2": "SUITE 230",
"city": "BOISE",
"state": "ID",
"postal_code": "83702",
"telephone_number": "208-343-4700",
"fax_number": "208-343-4706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1673 W SHORELINE DR",
"address_2": "SUITE 230",
"city": "BOISE",
"state": "ID",
"postal_code": "83702",
"telephone_number": "208-343-4700",
"fax_number": "208-343-4706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "DEBRA",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "MS MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT1247",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "CUNNINGHAM",
"middle_name": "F",
"prefix": "MS.",
"credential": "MS MPT",
"code": "1",
"type": "Former 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 Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.