ALEX CHARLES GODDERIDGE DPT
NPI 1942951736
Physical Therapist in Boise, ID

Active since January 12, 2022Accepts Medicare Assignment
12072 W MCMILLAN RD, BOISE, ID 83713(208) 939-0533(208) 939-3341 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alex Charles Godderidge Dpt NPPES

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

ALEX CHARLES GODDERIDGE DPT (NPI 1942951736) is an individual physical therapist in Boise, Idaho, licensed in Idaho (PT-7679) and active in the NPI registry since January 2022. He maintains a secondary practice location in Fruitland and is a graduate of Other (2021).

NPPES Registry Identity

NPI1942951736
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameALEX CHARLES GODDERIDGECredential: DPT
Location Address12072 W MCMILLAN RDBoise, ID 83713-2462
Mailing Address119 S. Valley Dr. Ste A #178Nampa, ID 83686 · (208) 800-1619
Fax(208) 939-3341
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 12, 2022
Last NPPES UpdateDecember 1, 2023
NPPES CertifiedDecember 1, 2023
NPI 1942951736 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
License Licensed in ID · PT-7679
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.
12072 W MCMILLAN RD, Boise, ID 83713

Secondary Practice Location 1

Location 12175 N Whitley DrFruitland, ID 83619-2132 · Phone (208) 452-7197 · Fax (208) 452-4811

Other Identifiers 1

OtherPT-7679ID · State License

Accepted Insurance

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

Alex Charles Godderidge 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 ID7911390893
PECOS Enrollment IDI20220217001756

Areas of Expertise CMS Part B claims 5

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 functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,596 services101 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.
1,085 services101 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
682 services85 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
592 services93 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.
48 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

Physical Therapist (Orthopedic)
12072 W MCMILLAN RD
BOISE, ID 83713
Physical Therapist
12072 W MCMILLAN RD
BOISE, ID 83713
Physical Therapist
12072 W MCMILLAN RD
BOISE, ID 83713
Physical Therapist
12072 W MCMILLAN RD
BOISE, ID 83713
Physical Therapist
12072 W MCMILLAN RD
BOISE, ID 83713
Physical Therapist
12072 W MCMILLAN RD
BOISE, ID 83713
Physical Therapist
12072 W MCMILLAN RD
BOISE, ID 83713
Physical Therapist
12072 W MCMILLAN RD
BOISE, ID 83713

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 Alex Godderidge's NPI number?

The NPI number for Alex Godderidge is 1942951736. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Where is Alex Godderidge located?

Alex Godderidge practices at 12072 W Mcmillan Rd, Boise, ID 83713. The listed phone number is (208) 939-0533.

What is Alex Godderidge's specialty?

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

Is Alex Godderidge enrolled in Medicare?

Yes. Alex Godderidge 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.

What insurance does Alex Godderidge accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Alex Godderidge 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 Alex Godderidge was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.