Melanie Christina Amoruso, DPT
Individual provider Active NPI Physical Therapist · Boise, ID
NPI 1942647482 · NPPES record last updated May 23, 2013
Key facts
- NPI
- 1942647482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT-3140 (ID)
- Practice address
- 12072 W McMillan Rd
Boise, ID 83713-2462 - Phone
- (208) 939-0533
- Fax
- (208) 939-3341
- NPI assigned
- May 23, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Pacific Medical College, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia Physical Therapy Inc PS
Practice addresses (Care Compare)
2470 N Stokesberry PL
Meridian, ID 83646-5035
Phone (208) 884-8323
7421 W Victory Rd
Suite 103
Boise, ID 83709-5106
Phone (208) 514-3736
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130716000130 | ID | Practitioner - Physical Therapist in Private Practice | 9032359096 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Physical Therapy Inc PS | Physical Therapist | Current |
Accepting new patients |
| ZRJ Inc | Physical Therapist | Past | Accepting new patients |
Locations
7421 W Victory Rd
Ste 103
Boise, ID 83709
Phone (208) 514-3736
2470 N Stokesberry Pl
Meridian, ID 83646
Phone (208) 884-8323
7201 W Clearwater Ave
Kennewick, WA 99336
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-3140 | ID | Yes |
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 providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.