Active NPI
Troy Lynn Reid, PT
- Physical Therapist
- Boise, ID
National Provider Identifier
1891728762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-1641
- Practice address
- 1525 S Orchard St
Boise, ID 83705-2620 - Phone
- (208) 939-0533
- NPI assigned
- Jul 7, 2006
- 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-1641 | ID | Primary |
Addresses
Primary practice location
1525 S Orchard St
Boise, ID 83705-2620
Mailing address
12072 W McMillan Rd
Boise, ID 83713-2462
Phone (208) 794-4283
Other practice location 1
9211 W Overland Rd
Boise, ID 83709-2502
Phone (208) 337-9503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-1641 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced PT, LLC | Physical Therapist | Past | Accepting new patients |
| Advanced PT LLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Nampa, ID
- NPI 1649507914
-
- Physical Therapist
- Kansas City, KS
- NPI 1144251232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1891728762",
"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": "208-794-4283",
"fax_number": "208-322-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 S ORCHARD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837052620",
"telephone_number": "208-939-0533"
}
],
"practiceLocations": [
{
"address_1": "9211 W Overland Rd",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837092502",
"country_code": "US",
"telephone_number": "208-337-9503",
"fax_number": "208-322-2825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REID",
"first_name": "TROY",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-1641",
"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 Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.