Individual provider Active NPI

Rita Miller, PT

  • Physical Therapist
  • Boise, ID
National Provider Identifier
1841487543
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5381 Issued in ID
Practice address
7219 W Potomac Dr
Boise, ID 83704-9182
Phone
(208) 908-8540
Fax
(208) 908-0095
NPI assigned
Sep 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5381 ID Primary

Addresses

Primary practice location

7219 W Potomac Dr
Boise, ID 83704-9182

Mailing address

7219 W Potomac Dr
Boise, ID 83704-9182
Phone (208) 908-8540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230227001132 ID Practitioner - Physical Therapist in Private Practice 6305828468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scolispine PLLCGroup PAC ID 3779956503, 3 clinicians

Practice addresses (Care Compare)

9464 W Fairview Ave
Boise, ID 83704-8101
Phone (208) 908-8540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5381IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Scolispine PLLC Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients
Scoliosis Treatment Center of Idaho Current Accepting new patients

Locations

7219 W Potomac Dr
Boise, ID 83704
Phone (208) 908-8540

9464 W Fairview Ave
Boise, ID 83704
Phone (208) 908-8540

16211 N Brinson St
Spc 100
Nampa, ID 83687
Phone (208) 860-2698

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1841487543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7219 W POTOMAC DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049182",
            "telephone_number": "208-908-8540",
            "fax_number": "208-908-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 W POTOMAC DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049182",
            "telephone_number": "208-908-8540",
            "fax_number": "208-908-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RITA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "5381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 5, 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.

Verify at the official NPI Registry.