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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Jared Clive Sansom, PTA

Physical Therapy Assistant in Boise, ID · enumerated 2021.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790359594

Verified

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Registry record

Entity type Individual (Type 1)
Name Jared Clive Sansom
Credential PTA
Sex Male
Practice address Boise, ID, 83704
Enumeration date May 17, 2021
Last updated in NPPES May 17, 2021

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PTA-4725 (ID) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jared Sansom?
The National Provider Identifier (NPI) for Jared Sansom is 1790359594, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jared Sansom practice?
The practice location on file with NPPES is in Boise, ID. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-05-17.