Proximity Telehealth LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROXIMITY TELEHEALTH LLC

Practice address

6098 E Grand Prairie Dr
Boise, ID 83716-4700

Phone

(208) 813-1330

NPI assigned

Jul 3, 2018

Organization subpart

No

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

Authorized official

Name

Jane MaddenNPI 1659317899

Title

Owner

Phone

(208) 813-1330

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jane Anne Madden, DPT

  • Physical Therapist
  • Boise, ID
  • NPI 1659317899
  NPD Authorized official

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1881180776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6098 E GRAND PRAIRIE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837164700",
            "telephone_number": "208-813-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6098 E GRAND PRAIRIE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837164700",
            "telephone_number": "208-813-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROXIMITY TELEHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-813-1330"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prov16, LLC (A Better Solution In Home Care)
• Jaden Charlotte-Margaret Provant, LMSW
• Mai Le Provencio, LCSW
• Proximity Physical Therapy LLC
• Proximity Telehealth LLC
• Noelle Graves Pruitt, DNP, MN, FNP-C
• Psychiatry 121 PLLC
• Psychology Services, PLLC
• Public Denture Center
• Public Health District IV (Central District Health Department)

• Physical Therapy Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapy Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.