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JAYLAN ISAIAH HIBBARD DPT
NPI 1497439095
Physical Therapist - Orthopedic in Boise, ID

Active since June 14, 2023Accepts Medicare Assignment
4776 N FIVE MILE RD STE 101, BOISE, ID 83713(208) 658-9500(208) 658-9501 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jaylan Isaiah Hibbard Dpt NPPES

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

JAYLAN ISAIAH HIBBARD DPT (NPI 1497439095) is an individual orthopedic provider in Boise, Idaho, licensed in Idaho (8544) and active in the NPI registry since June 2023. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1497439095
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameJAYLAN ISAIAH HIBBARDCredential: DPT
Location Address4776 N FIVE MILE RD STE 101Boise, ID 83713-2715
Mailing Address4776 N Five Mile Rd Ste 101Boise, ID 83713-2715 · (208) 658-9500 · Fax (208) 658-9501
Phone(208) 658-9500
Fax(208) 658-9501
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 14, 2023
Last NPPES UpdateJune 15, 2023
NPPES CertifiedJune 15, 2023
✔ NPI 1497439095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in ID · 8544
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

4776 N FIVE MILE RD STE 101, Boise, ID 83713
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaylan Isaiah Hibbard Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678934932
PECOS Enrollment IDI20230802003194

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
1,017 services61 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
431 services58 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
19 services18 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REUBEN LIKA WOOLEY
Physical Therapist
4776 N FIVE MILE RD STE 101
BOISE, ID 83713
Ada County (208) 658-9500
REVOLUTIONARY MEDICINE OF IDAHO
Nurse Practitioner (Family)
4776 N FIVE MILE RD STE 101
BOISE, ID 83713
Ada County (986) 777-0278
MR. JEFFREY D ROBBINS FNP
Nurse Practitioner (Family)
4776 N FIVE MILE RD STE 101
BOISE, ID 83713
Ada County (208) 986-7770

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 Jaylan Hibbard's NPI number?

The NPI number for Jaylan Hibbard is 1497439095. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Jaylan Hibbard located?

Jaylan Hibbard practices at 4776 N Five Mile Rd Ste 101, Boise, ID 83713. The listed phone number is (208) 658-9500.

What is Jaylan Hibbard's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Jaylan Hibbard enrolled in Medicare?

Yes. Jaylan Hibbard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jaylan Hibbard was last updated on June 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.