BRADFORD R. PAGE (NPI# 1639175276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639175276 |
| Entity Type | Individual |
| Full Name | BRADFORD R. PAGE |
| Credential | MS, PT |
| Practice Address |
1188 University Dr Boise ID 83706 |
| Mailing Address |
1188 W University Dr Boise ID 83706-3009 |
| Practice Telephone | 2083368250 |
| Practice Fax Number | 2083459514 |
| Mailing Telephone | 2083368250 |
| Mailing Fax Number | 2083459514 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2018-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT664 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1639175276 | 05 |
| Street Address |
1188 UNIVERSITY DR |
| City | BOISE |
| State | ID |
| Zip Code | 83706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418903 | George A. Wade | Orthopaedic Surgery | 1188 University Dr, Boise, ID 83706-3009 | 2005-06-24 |
| 1538359815 | Korene D Mayo | Specialist/Technologist | 1188 University Dr, Boise, ID 83706-3009 | 2007-08-01 |
| 1154356624 | Idaho Sports Medicine Institute, Pa | Neuromusculoskeletal Medicine, Sports Medicine | 1188 University Dr, Boise, ID 83706-3009 | 2006-07-12 |
| 1184699787 | Elizabeth Greenway Schoenfeld | Physical Therapist | 1188 University Dr, Boise, ID 83706-3009 | 2006-02-17 |
| 1609872241 | Kristin K Hulquist | Physical Therapist | 1188 University Dr, Boise, ID 83706 | 2005-06-27 |
| 1386640928 | Linda Hammann | Physical Therapist | 1188 University Dr, Boise, ID 83706-3009 | 2005-06-27 |
| 1245236983 | Jennifer Rawlings Miller | Orthopaedic Surgery | 1188 University Dr, Boise, ID 83706 | 2005-06-27 |
| 1043216823 | Scot B Scheffel | Family Medicine | 1188 University Dr, Boise, ID 83706 | 2005-06-24 |
| 1033115803 | Kirk J Lewis | Orthopaedic Surgery | 1188 University Dr, Boise, ID 83706 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205307485 | Scoliosis Treatment Center of Idaho | Physical Therapist | 2157 S Pebblecreek Ln, Boise, ID 83706-6123 | 2018-12-16 |
| 1437210853 | Judith Lee Grucella | Physical Therapist | 4477 Emerald St Ste C125, Boise, ID 83706-2058 | 2006-12-12 |
| 1689770711 | Pro Motion Physical Therapy LLC | Physical Therapist | 1101 N 28th St, Boise, ID 83702-2208 | 2006-09-16 |
| 1184720211 | Pro Motion Physical Therapy LLC | Physical Therapist | 3040 N Five Mile Rd, Boise, ID 83713-5234 | 2006-09-16 |
| 1447256086 | Jay Armstrong | Physical Therapist | 1188 W University Dr, Boise, ID 83706-3009 | 2005-06-27 |
| 1528620853 | Dana Van Wyck | Physical Therapist | 4776 N Five Mile Rd, Boise, ID 83713-2715 | 2019-07-08 |
| 1003477274 | Bridget Gilbertson | Physical Therapist | 703 S Americana Blvd Ste 130, Boise, ID 83702-6754 | 2019-06-27 |
| 1346731718 | Kaitlyn Marie Brown | Physical Therapist | 1188 W University Dr, Boise, ID 83706-3009 | 2018-05-22 |
| 1194193334 | Candice Chessum | Physical Therapist | 1109 W Myrtle St, Boise, ID 83702-6970 | 2015-09-04 |
| 1497143507 | Precision Performance and Therapy | Physical Therapist | 8950 W Emerald St, Ste 150, Boise, ID 83704-4854 | 2014-12-26 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.