Alex Charles Godderidge, DPT in Boise, ID - Medicare Physical Therapy Provider

Alex Charles Godderidge, DPT is a medicare enrolled "Physical Therapist" provider in Boise, Idaho. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Zrj Inc and his current practice location is 12072 W Mcmillan Rd, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 939-0533.

Alex Charles Godderidge is licensed to practice in Idaho (license number PT-7679) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942951736.

Contact Information

	Alex Charles Godderidge, DPT
	12072 W Mcmillan Rd, Boise, ID 83713-2462
	(208) 939-0533
	(208) 939-3341

Map and Direction

Healthcare Provider's Profile

Full Name	Alex Charles Godderidge
Gender	Male
Speciality	Physical Therapy
Experience	3 Years
Location	12072 W Mcmillan Rd, Boise, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alex Charles Godderidge graduated from medical school in 2021

NPI Data:

NPI Number: 1942951736
Provider Enumeration Date: 01/12/2022
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 7911390893
Enrollment ID: I20220217001756

Medical Identifiers

Medical identifiers for Alex Charles Godderidge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942951736	NPI	-	NPPES
PT-7679	Other	ID	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT-7679 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Zrj Inc	6507858172	10

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alex Charles Godderidge allows following entities to bill medicare on his behalf.

Provider Name	Zrj Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1639365323 PECOS PAC ID: 6507858172 Enrollment ID: O20040401001722

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. Alex Charles Godderidge 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 Address	Practice Location Address
Alex Charles Godderidge, DPT 119 S. Valley Dr. Ste A #178, Nampa, ID 83686 Ph: (208) 800-1619	Alex Charles Godderidge, DPT 12072 W Mcmillan Rd, Boise, ID 83713-2462 Ph: (208) 939-0533

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

Alex Charles Godderidge, DPT - Medicare Physical Therapist in Boise, ID