IDAHO PHYSICAL THERAPY
NPI 1184779514
Clinic/Center - Physical Therapy in Boise, ID
About Idaho Physical Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IDAHO PHYSICAL THERAPY (NPI 1184779514) is a healthcare organization registered as a physical therapy in Boise, Idaho and active in the NPI registry since January 2007. The organization lists David Ray, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Idaho Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Idaho Physical Therapy, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Physical Therapy Centers Of Idaho's NPI number?
The NPI number for Physical Therapy Centers Of Idaho is 1184779514. It was assigned to this organization in the NPPES registry on January 24, 2007. The provider is also known as Idaho Physical Therapy.
Where is Physical Therapy Centers Of Idaho located?
Physical Therapy Centers Of Idaho is located at 8854 W Emerald St Suite 280, Boise, ID 83704. The listed phone number is (208) 377-5005.
What is Physical Therapy Centers Of Idaho's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Physical Therapy Centers Of Idaho enrolled in Medicare?
Yes. Physical Therapy Centers Of Idaho is registered in the Medicare PECOS enrollment system.
When is Physical Therapy Centers Of Idaho's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Physical Therapy Centers Of Idaho?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Physical Therapy Centers Of Idaho. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Physical Therapy Centers Of Idaho was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Idaho Physical Therapy · NPI 1184779514
Physical Therapy organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since January 24, 2007.
## Identity
- **NPI:** 1184779514 (Entity type: Organization)
- **Enumerated:** January 24, 2007
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Legal business name:** Physical Therapy Centers Of Idaho
- **Organization subpart:** No
- **Authorized official:** David Ray, OWNER
## Practice location
- **Address:** 8854 W EMERALD ST, SUITE 280, Boise, ID 83704-4844
- **Phone:** (208) 377-5005 · **Fax:** (208) 377-8484
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1184779514) · Data from the CMS NPPES public registry.