Active NPI
Stephanie K Hernley, PT
- Physical Therapist
- Boise, ID
National Provider Identifier
1932109501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2255
- Practice address
- 8854 W Emerald St
Suite 280
Boise, ID 83704-4844 - Phone
- (208) 377-5005
- Fax
- (208) 377-8484
- NPI assigned
- Jul 26, 2005
- Last updated
- Aug 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305203517 | VA | |
| Physical Therapist | 225100000X | PT-2255 | ID | Primary |
Addresses
Primary practice location
8854 W Emerald St
Suite 280
Boise, ID 83704-4844
Mailing address
8854 W Emerald St
Suite 280
Boise, ID 83704-4844
Phone (208) 377-5005
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-2255 | ID | MD | Physical Therapist |
| 2305203517 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Therapy | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Centers of Idaho | Past | Accepting new patients | |
| Advanced Family Medicine PLLC | Past | Accepting new patients | |
| Action Therapy, P.C. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Kuna, ID
- NPI 1598822231
-
- Physical Therapy Clinic/Center
- Boise, ID
- NPI 1184779514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186099200000",
"number": "1932109501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8854 W EMERALD ST",
"address_2": "SUITE 280",
"city": "BOISE",
"state": "ID",
"postal_code": "837044844",
"telephone_number": "208-377-5005",
"fax_number": "208-377-8484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8854 W EMERALD ST",
"address_2": "SUITE 280",
"city": "BOISE",
"state": "ID",
"postal_code": "837044844",
"telephone_number": "208-377-5005",
"fax_number": "208-377-8484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNLEY",
"first_name": "STEPHANIE",
"middle_name": "K",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2007-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305203517",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-2255",
"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 Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.