Idaho Spine & Sports Physical Therapy - Medicare Physical Therapist in Boise, ID

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Idaho Spine & Sports Physical Therapy is a medicare enrolled "Physical Therapist" provider in Boise, Idaho. Their current practice location is 12072 Mcmillan Rd, Boise, Idaho. You can reach out to their office (for appointments etc.) via phone at (208) 939-0533.

Idaho Spine & Sports Physical Therapy is licensed to practice in Idaho (license number 1208) and it also participates in the medicare program. Idaho Spine & Sports Physical Therapy is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1639365323.

Contact Information

Idaho Spine & Sports Physical Therapy
12072 Mcmillan Rd,
Boise, ID 83713-2462
(208) 939-0533
(208) 939-3341

Map and Direction




Healthcare Provider's Profile

Full NameIdaho Spine & Sports Physical Therapy
TypeFacility
SpecialityPhysical Therapist
Location12072 Mcmillan Rd, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639365323
  • Provider Enumeration Date: 09/17/2007
  • Last Update Date: 12/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6507858172
  • Enrollment ID: O20040401001722

Medical Identifiers

Medical identifiers for Idaho Spine & Sports Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639365323NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1208 (Idaho)Primary
225X00000XOccupational Therapist 928 (Idaho)Secondary
235Z00000XSpeech-language Pathologist 1455 (Idaho)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Idaho Spine & Sports Physical Therapy acts as a billing entity for following providers:
Provider NameTroy Lynn Reid
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891728762
PECOS PAC ID: 8123912706
Enrollment ID: I20070420000400
Provider NameRobert B Adams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881775633
PECOS PAC ID: 9234121815
Enrollment ID: I20101222000876
Provider NameJeffrey R. Taylor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346501962
PECOS PAC ID: 3971767120
Enrollment ID: I20120619000623
Provider NameKristen M Folger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780052720
PECOS PAC ID: 6608157342
Enrollment ID: I20170111002309
Provider NameDevyn Dodge
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538458120
PECOS PAC ID: 1658558986
Enrollment ID: I20170424000986
Provider NameSteven Michael Oswald
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194266007
PECOS PAC ID: 7012294309
Enrollment ID: I20171113002629
Provider NameChristopher George Olshavsky
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477986727
PECOS PAC ID: 1951545417
Enrollment ID: I20171209000362
Provider NameGunjan D Patel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861987356
PECOS PAC ID: 8628326154
Enrollment ID: I20180731002771
Provider NameTaylor A Cavazos
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952967671
PECOS PAC ID: 1658604129
Enrollment ID: I20190615000222
Provider NameKimberly M Ehlke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811558174
PECOS PAC ID: 1355677022
Enrollment ID: I20190802000019
Provider NameDenice Y Romero-marquez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811379910
PECOS PAC ID: 4082990635
Enrollment ID: I20190912002697
Provider NameMatthew Wisehart
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063861060
PECOS PAC ID: 2062794688
Enrollment ID: I20191230000404
Provider NameJordan Noel Henretty
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538785050
PECOS PAC ID: 9133542822
Enrollment ID: I20200714001985
Provider NameLindsay Freeborn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124005095
PECOS PAC ID: 5496773426
Enrollment ID: I20210519001838
Provider NameNicole Bischel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770159972
PECOS PAC ID: 3678973914
Enrollment ID: I20210608003255
Provider NameElise Morrow
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518533132
PECOS PAC ID: 2567863715
Enrollment ID: I20210625001841
Provider NameAmanda Howar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801467568
PECOS PAC ID: 7214330976
Enrollment ID: I20210720000185
Provider NameBrandon Matthew Todd
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568139640
PECOS PAC ID: 6204233653
Enrollment ID: I20210928000629
Provider NameTaylor Feuz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578235248
PECOS PAC ID: 2264820646
Enrollment ID: I20211104001584
Provider NameAlex C Godderidge
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942951736
PECOS PAC ID: 7911390893
Enrollment ID: I20220217001756
Provider NameOle Christian Borgesen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043413230
PECOS PAC ID: 0648322313
Enrollment ID: I20220603001665
Provider NameCollin Larson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023738986
PECOS PAC ID: 0547637381
Enrollment ID: I20221107003124
Provider NameCasey B Strunk
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154716322
PECOS PAC ID: 1355703778
Enrollment ID: I20230817001432
Provider NameMariah Kay Boyd
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942754981
PECOS PAC ID: 4082981808
Enrollment ID: I20230929002525
Provider NameJason Gramajo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215791280
PECOS PAC ID: 3173968880
Enrollment ID: I20240304001064
Provider NameOlivia Dean
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124882220
PECOS PAC ID: 9335585934
Enrollment ID: I20240305004652
Provider NameJacob Winslow
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205315207
PECOS PAC ID: 7214289495
Enrollment ID: I20240326001726

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. Idaho Spine & Sports Physical Therapy 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 AddressPractice Location Address
Idaho Spine & Sports Physical Therapy
12072 Mcmillan Rd,
Boise, ID 83713-2462

Ph: (208) 939-0533		Idaho Spine & Sports Physical Therapy
12072 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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.