Tai Se Boise - Medicare Physical Therapist in Boise, ID

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Tai Se Boise is a medicare enrolled "Physical Therapist" provider in Boise, Idaho. Their current practice location is 960 S Broadway Ave Ste 200, Boise, Idaho. You can reach out to their office (for appointments etc.) via phone at (208) 433-9211.

Tai Se Boise is licensed to practice in Idaho (license number ) and it also participates in the medicare program. Tai Se Boise is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1487630240.

Contact Information

Tai Se Boise
960 S Broadway Ave Ste 200,
Boise, ID 83706-3600
(208) 433-9211
(208) 433-9241

Map and Direction




Healthcare Provider's Profile

Full NameTai Se Boise
TypeFacility
SpecialityPhysical Therapist
Location960 S Broadway Ave Ste 200, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487630240
  • Provider Enumeration Date: 12/22/2005
  • Last Update Date: 05/06/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0042116279
  • Enrollment ID: O20040515000415

Medical Identifiers

Medical identifiers for Tai Se Boise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487630240NPI-NPPES
1487630240-000MedicaidID
197670349MedicaidID
1487630240MedicaidID
197670349OtherIDOWCP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tai Se Boise acts as a billing entity for following providers:
Provider NameCorey E Dupont
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639334279
PECOS PAC ID: 3577639392
Enrollment ID: I20080902000441
Provider NameRobert M Barnes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912974650
PECOS PAC ID: 4688740079
Enrollment ID: I20080909000376
Provider NameNicole L Barnes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871769307
PECOS PAC ID: 6901965854
Enrollment ID: I20081106000306
Provider NameBrian C Weiderman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831419332
PECOS PAC ID: 0547392029
Enrollment ID: I20100719000816
Provider NameMatthew Ryan Booth
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265416291
PECOS PAC ID: 7416923800
Enrollment ID: I20100908000723
Provider NameKala C Whitworth
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619283975
PECOS PAC ID: 0446420657
Enrollment ID: I20110825000685
Provider NameMark L Moss
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891050068
PECOS PAC ID: 0345490165
Enrollment ID: I20121031000700
Provider NameLynsey J Wagner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477895498
PECOS PAC ID: 2264670454
Enrollment ID: I20130529000869
Provider NameCatherine E Duke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114363199
PECOS PAC ID: 4981847712
Enrollment ID: I20130827000526
Provider NameJennifer A Skeesick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457414609
PECOS PAC ID: 5294896973
Enrollment ID: I20140606001224
Provider NameMindy E English
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093156689
PECOS PAC ID: 0244458990
Enrollment ID: I20140821002781
Provider NameJerrod R Ackerman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487067005
PECOS PAC ID: 2668690827
Enrollment ID: I20140829001081
Provider NameCollin R Reid
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124477716
PECOS PAC ID: 8527350974
Enrollment ID: I20160706001126
Provider NamePaige L Barbero
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063847259
PECOS PAC ID: 5395003834
Enrollment ID: I20171211001715
Provider NameKari L Green
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356858609
PECOS PAC ID: 2365702602
Enrollment ID: I20180207001259
Provider NameShannon M Mcgrath
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609375187
PECOS PAC ID: 6002178332
Enrollment ID: I20180326000611
Provider NameTyrel J Nelson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477045581
PECOS PAC ID: 9133478647
Enrollment ID: I20180816001758
Provider NameShelby J Hyde
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326511056
PECOS PAC ID: 6406194786
Enrollment ID: I20190212001259
Provider NameErin Margaret Tuthill
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285885343
PECOS PAC ID: 9133462351
Enrollment ID: I20190509002669
Provider NameBrett S Bennett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093271355
PECOS PAC ID: 5092058396
Enrollment ID: I20190529001960
Provider NameStephanie Meo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629600739
PECOS PAC ID: 8123455540
Enrollment ID: I20200306001436
Provider NameSusan Alaine Ackerman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437534781
PECOS PAC ID: 2062792153
Enrollment ID: I20200327001670
Provider NameChad S Neubauer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619398393
PECOS PAC ID: 5395168587
Enrollment ID: I20200707000769
Provider NameMatthew Carpenter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841804200
PECOS PAC ID: 4688092497
Enrollment ID: I20200910002413
Provider NameCole Davis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982216693
PECOS PAC ID: 3971921651
Enrollment ID: I20200911001622
Provider NameTeisha Banda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538767231
PECOS PAC ID: 8729498126
Enrollment ID: I20201112002721
Provider NameKatrina Tooman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710594478
PECOS PAC ID: 9133530439
Enrollment ID: I20201117002276
Provider NameSean Hurley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588231740
PECOS PAC ID: 1052711074
Enrollment ID: I20210614001375
Provider NameAustin Mcraye Torgersen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922631860
PECOS PAC ID: 4284056078
Enrollment ID: I20210908000591
Provider NameJoseph Dillon Gragnano
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013660562
PECOS PAC ID: 3476948407
Enrollment ID: I20220309002610
Provider NameAlison Marie Dumas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821746314
PECOS PAC ID: 6800281296
Enrollment ID: I20220322001535
Provider NameBrianna Alyce Thompson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780326991
PECOS PAC ID: 6305225822
Enrollment ID: I20220614000476
Provider NameKendra W Ickes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902533078
PECOS PAC ID: 9234513953
Enrollment ID: I20220830002544
Provider NameKimberly Mazzella
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730110982
PECOS PAC ID: 6002811387
Enrollment ID: I20220930002315
Provider NameCaleb Malvini
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710638028
PECOS PAC ID: 3476925702
Enrollment ID: I20230214001122
Provider NameKristen Irene Dunlay
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528771276
PECOS PAC ID: 8123491669
Enrollment ID: I20230302001672
Provider NameJacob A Lopez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386349645
PECOS PAC ID: 7618335266
Enrollment ID: I20230614002127
Provider NameEmily Rae Greer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326803925
PECOS PAC ID: 7214373547
Enrollment ID: I20240308003398

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tai Se Boise is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tai Se Boise
16083 Sw Upper Boones Ferry Rd, Ste 300,
Tigard, OR 97224-7736

Ph: (800) 219-8835		Tai Se Boise
960 S Broadway Ave Ste 200,
Boise, ID 83706-3600

Ph: (208) 433-9211

Reviews and Comments


Physical Therapist in Boise, ID

Mrs. Dianne Denise Nelson, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1130 Allumbaugh St, Boise, ID 83704
Phone: 208-854-8517    
Peter H Kolb, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 901 N Curtis Rd Ste 204, Boise, ID 83706
Phone: 208-367-3315    Fax: 208-367-2674
Melissa Pirtle, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 703 S Americana Blvd, Suite 130, Boise, ID 83702
Phone: 208-706-7530    Fax: 208-706-7531
Kyle Aaron Holbrook, PT, DPT, NCS
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 600 N Robbins Rd, Boise, ID 83702
Phone: 208-489-4444    
Rebecca Wensel, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-2138    
Bridget Gilbertson, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2931 N Maywood Ave, Boise, ID 83704
Phone: 385-498-1740    
Idaho Physical Therapy
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1175 E Parkcenter Blvd, Ste 101, Boise, ID 83706
Phone: 208-367-1010    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.