PHYSICAL THERAPY 180
NPI 1669696910
Physical Therapist in Boise, ID

Active since April 11, 2007
5909 W STATE STREET, BOISE, ID 83703(208) 343-7700(208) 331-2591 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 17, 2019, Jan 9, 2019 (2 updates tracked since 2019).

About Physical Therapy 180 NPPES

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

PHYSICAL THERAPY 180 (NPI 1669696910) is a healthcare organization registered as a physical therapist in Boise, Idaho and active in the NPI registry since April 2007. The organization maintains a secondary practice location in Meridian and lists Cory Allen Mcknight, Owner, as its authorized official.

NPPES Registry Identity

NPI1669696910
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePHYSICAL THERAPY 180 LLC
Location Address5909 W STATE STREETBoise, ID 83703
Mailing Address5909 W State StreetBoise, ID 83703 · (208) 343-7700 · Fax (208) 331-2591
Fax(208) 331-2591
Organization SubpartNo
Authorized OfficialCory Allen McknightOwner · (208) 343-7700
Enumeration DateApril 11, 2007
Last NPPES UpdateJanuary 17, 20192 updates tracked since enumeration
✔ NPI 1669696910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
5909 W STATE STREET, Boise, ID 83703

Other Names 1

Doing Business AsPhysical Therapy 180

Secondary Practice Location 1

Location 13919 E Overland RdMeridian, ID 83642-6710 · Phone (208) 898-1468 · Fax (208) 331-2591

Other Identifiers 1

Medicaid808631800ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Physical Therapy 180 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Physical Therapy 180, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Physical Therapist in Private Practice
NPI 1932754496
2302 N BOGUS BASIN RD STE C
Boise, ID 83702
(208) 344-0737
✔ Accepts Medicare3.0 mi
Physical Therapist in Private Practice
NPI 1356953301
5255 W OVERLAND RD
Boise, ID 83705
(208) 338-9486
4.8 mi
Physical Therapist in Private Practice
NPI 1871678037
3200 E LOS ANGELES AVE SUITE 20
Simi Valley, CA 93065
(805) 581-4266
✔ Accepts Medicare661 mi
Physical Therapist in Private Practice
NPI 1952741571
0S050 WINFIELD RD SUITE 120
Winfield, IL 60190
(630) 653-4743
✔ Accepts Medicare1,428 mi

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 180 LLC's NPI number?

The NPI number for Physical Therapy 180 LLC is 1669696910. It was assigned to this organization in the NPPES registry on April 11, 2007. The provider is doing business as Physical Therapy 180.

Where is Physical Therapy 180 LLC located?

Physical Therapy 180 LLC is located at 5909 W State Street, Boise, ID 83703. The listed phone number is (208) 343-7700.

What is Physical Therapy 180 LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Physical Therapy 180 LLC enrolled in Medicare?

Yes. Physical Therapy 180 LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physical Therapy 180 LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Physical Therapy 180 LLC. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Physical Therapy 180 LLC accept?

Health plans from Molina Healthcare list Physical Therapy 180 LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Physical Therapy 180 LLC was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.