David Faris, P.T.

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

1570 Issued in ID

Practice address

600 N Robbins Rd
Boise, ID 83702-4565

Phone

(208) 489-4795

Fax

(208) 489-4052

NPI assigned

Feb 11, 2014

Last updated

Feb 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1871917880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N ROBBINS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024565",
            "telephone_number": "208-489-4795",
            "fax_number": "208-489-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N ROBBINS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024565",
            "telephone_number": "208-489-4795",
            "fax_number": "208-489-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIS",
        "first_name": "DAVID",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "1570",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "ID",
            "license": "1570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexi Dimitrios Fanopoulos, LMSW
• Amy Faragher, LPC
• Kaylin Faranda, MS, GC
• Susan L Farber, PHD
• Mallory Hope Faricy, MS OTR/L
• Robert Saeid Farivar, MD, PHD
• Alexandra Alene Farley, ATC
• Ashley Janelle Farley, PHARMD
• Brittney Farley, BCBA-D
• Sherry Farley, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.