Rajcoomar Issuree, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT670 Issued in ID

Practice address

8950 W Emerald St
Suite #195
Boise, ID 83704-4854

Phone

(208) 376-7313

Fax

(208) 376-7487

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Athletic Training Center Inc.

  • Physical Therapist
  • Boise, ID
  • NPI 1629094883
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1841216009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 W EMERALD ST STE 195",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048296",
            "telephone_number": "208-376-7313",
            "fax_number": "208-376-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 W EMERALD ST",
            "address_2": "SUITE #195",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044854",
            "telephone_number": "208-376-7313",
            "fax_number": "208-376-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSUREE",
        "first_name": "RAJCOOMAR",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806834400",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ID",
            "identifier": "TD767",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010138628",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Levania Habonimana Isack
• Isara Group Inc.
• Aimee Ishimwe
• Flora Ishimwe
• Samuel Ishimwe
• Isucceed Virtual High School
• Jessica Ivancic, MS, LCPC
• Jana Iverson
• Maggie Iverson
• Michala Iverson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.