Kalin Ashby
Individual provider Active NPI Physical Therapist · Boise, ID
NPI 1962060780 · NPPES record last updated Jun 5, 2019
Key facts
- NPI
- 1962060780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 7979 W Rifleman St
Boise, ID 83704-9066 - Phone
- (208) 377-3850
- NPI assigned
- Jun 5, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rock and Armor Physical Therapy and Sports Performance, LLC
Practice addresses (Care Compare)
1649 E Pine Ave
Meridian, ID 83642-8135
Phone (208) 917-2660
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190930002968 | ID | Practitioner - Physical Therapist in Private Practice | 2668702960 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock and Armor Physical Therapy and Sports Performance, LLC | Physical Therapist | Current |
Accepting new patients |
| CSRM LLC | Physical Therapist | Current |
Accepting new patients |
| Sawtooth Physical Therapy | Physical Therapist | Current |
Accepting new patients |
| Sawtooth Physical Therapy | Current |
Accepting new patients | |
| CSRM LLC | Current |
Accepting new patients |
Locations
7979 W Rifleman St
Ste 100
Boise, ID 83704
Phone (208) 375-6133
7979 W Rifleman St
Boise, ID 83704
Phone (208) 321-4000
7979 W Rifleman St
Ste 200
Boise, ID 83704
Phone (208) 377-3850
104 W 53rd St
Garden City, ID 83714
Phone (208) 375-5511
1649 E Pine Ave
Meridian, ID 83642
Phone (208) 917-2660
4842 N Cortona Way
Ste 100
Meridian, ID 83646
Phone (208) 888-8302
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
7979 W Rifleman St
Boise, ID 83704-9066
Mailing address
7979 W Rifleman St
Boise, ID 83704-9066
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kalin@sawtoothpt.com | Direct |
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 Jun 5, 2019. 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.