Active NPI
Robert Bret Adams, MPT
- Physical Therapist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-1208
- Practice address
- 12072 W McMillan Rd
Boise, ID 83713-2462 - Phone
- (208) 939-0533
- Fax
- (208) 939-3341
- NPI assigned
- Oct 18, 2006
- Last updated
- Nov 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-1208 | ID | Primary |
Addresses
Primary practice location
12072 W McMillan Rd
Boise, ID 83713-2462
Mailing address
12072 W McMillan Rd
Boise, ID 83713-2462
Phone (208) 939-0533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805572200 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13666 W Baldcypress St
Suite 100
Boise, ID 83713-1038
Phone (208) 939-0533
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Pediatric Therapy Clinic PLLC | Physical Therapist | Current | Accepting new patients |
| Idaho Spine and Sports Physical Therapy - Silverstone | Physical Therapist | Current | Accepting new patients |
| ZRJ Inc | Physical Therapist | Current | Accepting new patients |
| Peak Physical Therapy P C | Physical Therapist | Past | Accepting new patients |
| Idaho Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
Locations
12072 W McMillan Rd
Boise, ID 83713
Phone (208) 939-0533
13666 W Baldcypress St
Ste 100
Boise, ID 83713
Phone (208) 939-0533
3040 N Five Mile Rd
Boise, ID 83713
Phone (208) 252-6531
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383868800000",
"number": "1881775633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12072 W MCMILLAN RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837132462",
"telephone_number": "208-939-0533",
"fax_number": "208-939-3341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12072 W MCMILLAN RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837132462",
"telephone_number": "208-939-0533",
"fax_number": "208-939-3341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "ROBERT",
"middle_name": "BRET",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2013-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-1208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805572200",
"state": "ID"
}
],
"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 Nov 8, 2013; 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.