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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

TIMOTHY CLEVELAND
NPI 1417870130
Prosthetist in Boise, ID

Active since July 31, 2026
2109 W JEFFERSON ST, BOISE, ID 83702(208) 918-5768 Get Directions Write a Review

NPPES record added: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Cleveland NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY CLEVELAND (NPI 1417870130) is an individual prosthetist provider in Boise, Idaho, licensed in Idaho (CPO03999) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1417870130
Entity TypeIndividualMale
Primary Taxonomy224P00000X
Provider Legal NameTIMOTHY CLEVELAND
Location Address2109 W JEFFERSON STBoise, ID 83702-4927
Mailing Address2109 W Jefferson StBoise, ID 83702-4927 · (208) 918-5768
Phone(208) 918-5768
Sole ProprietorNo
Enumeration DateJuly 31, 2026
NPPES CertifiedJuly 31, 2026
✔ NPI 1417870130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
License✔ Licensed in ID · CPO03999
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
2109 W JEFFERSON ST, Boise, ID 83702
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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 Timothy Cleveland's NPI number?

The NPI number for Timothy Cleveland is 1417870130. It was assigned to this individual provider in the NPPES registry on July 31, 2026.

Where is Timothy Cleveland located?

Timothy Cleveland practices at 2109 W Jefferson St, Boise, ID 83702. The listed phone number is (208) 918-5768.

What is Timothy Cleveland's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Timothy Cleveland was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.