Active NPI
Weston Stanworth
- Physical Therapist
- Mountain Home, ID
National Provider Identifier
1831736487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1005 W Airbase Rd
Mountain Home, ID 83647-3339 - Phone
- (208) 587-1784
- NPI assigned
- Dec 3, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1005 W Airbase Rd
Mountain Home, ID 83647-3339
Mailing address
7550 W Emerald St
Boise, ID 83704-9015
Phone (208) 375-0765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
486 W 1St Ave
Glenns Ferry, ID 83623-2701
Phone (208) 696-9711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors of Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Anson Call DPT Inc | Current | Accepting new patients | |
| McCall Physical Therapy, P.a. | Physical Therapist | Past | Accepting new patients |
Locations
486 W 1st Ave
Glenns Ferry, ID 83623
Phone (208) 366-7416
3195 E 8th N
Mountain Home, ID 83647
Phone (208) 269-6290
Organizations & group practices 3
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.
-
- Physical Therapist
- Mountain Home, ID
- NPI 1376252114
-
- Physical Therapy Clinic/Center
- Glenns Ferry, ID
- NPI 1649828229
-
- Physical Therapist
- McCall, ID
- NPI 1750454104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1831736487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7550 W EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837049015",
"telephone_number": "208-375-0765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W AIRBASE RD",
"city": "MOUNTAIN HOME",
"state": "ID",
"postal_code": "836473339",
"telephone_number": "208-587-1784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANWORTH",
"first_name": "WESTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-03",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.