Jared Sansom, PTA
NPI 1790359594 · Physical Therapy Assistant · Boise, ID
Jared Sansom, PTA is a Physical Therapy Assistant provider in Boise, ID (NPI 1790359594).
Provider details
- NPI number
- 1790359594
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- PTA-4725 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-17
- Last updated
- 2021-05-17
- Certified
- 2021-05-17
Frequently asked questions
- What is Jared Sansom's NPI number?
- Jared Sansom's National Provider Identifier (NPI) is 1790359594, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jared Sansom's specialty?
- Jared Sansom is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jared Sansom located?
- Jared Sansom's practice location on file with NPPES is 3352 N Kingswood Way, Boise, ID 83704-4385.
- What is Jared Sansom's phone number?
- The practice phone number listed in the NPPES registry for Jared Sansom is (208) 421-5991.
- Is Jared Sansom's NPI active?
- Yes — Jared Sansom's NPI (1790359594) is active in the NPPES registry as of the last update on 2021-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.