Vitaliy Tsema

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-5874 Issued in ID

Practice address

1140 N Allumbaugh St
Boise, ID 83704-8716

Phone

(208) 854-8500

NPI assigned

Aug 21, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1861168536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 S DENVER AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063514",
            "telephone_number": "208-371-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N ALLUMBAUGH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048716",
            "telephone_number": "208-854-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSEMA",
        "first_name": "VITALIY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "PTA-5874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus H Trujillo, LPC
• Michael Trujillo, DO
• Kimberly Kathaleen Trulli, RMT
• Tanner Trumble
• Alexandra Tsai, MS, LCGC
• Gregory Tsuda
• Martin R Tubach, MD
• Shana L Tubach, MD
• Gary Arthur Tubbs, M.D.
• Clay S Tuck, LMSW

• Physical Therapy Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; 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.