TAI SE Boise – Physical Therapist, NPI 1487630240

TAI SE Boise is a healthcare provider. based in Tigard, Oregon. specializing in Physical Therapist. The NPI Number for TAI SE Boise is 1487630240

Main info

Organization
Name
TAI SE Boise
NPI
1487630240
Phone
(800) 219-8835
Address
16083 SW UPPER BOONES FERRY RD
Authorized Official
MR. TODD ROBERT GIFFORD INFORMATION SYSTEMS DIRECTOR PT
Enumeration Date
22 December 2005
Last Update Date
6 May 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for TAI SE Boise

  • 16083, Southwest Upper Boones Ferry Road, Durham Road, Tigard, Metro, Washington County, Oregon, 97224, United States

    STE 300

    TIGARD, OR 972247736

    Phone: (800) 219-8835

    Fax: (503) 443-1402

    Type: Mailing

  • 200, South Broadway Avenue, Boise, Ada County, Idaho, 83702, United States

    BOISE, ID 837063600

    Phone: (208) 433-9211

    Fax: (208) 433-9241

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-15

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97224)

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Reviews

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Frequently asked questions

How do payers reference TAI SE Boise?
For TAI SE Boise, use NPI 1487630240 as the unique 10-digit identifier.
Is TAI SE Boise still an active registrant?
TAI SE Boise carries an active NPI according to the public dataset.
What clinical focus is listed for TAI SE Boise?
At a glance, TAI SE Boise is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TAI SE Boise?
Travel planning: use Tigard, Oregon as the reference point for TAI SE Boise, then confirm.
Does TAI SE Boise accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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