COBY CONTRERAS PT, DPT
NPI 1962367235
Physical Therapist - Sports in Boise, ID
About Coby Contreras Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COBY CONTRERAS PT, DPT (NPI 1962367235) is an individual sports provider in Boise, Idaho, licensed in Ohio (PT021369) and active in the NPI registry since December 2025. He is a graduate of University Of Utah School Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Coby Contreras Pt, 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.
Medicare Billing Reassignment
Medicare enrollment records show Coby Contreras reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84121
- Reassigned Medicare billing, Idaho enrollment
- 53 clinicians in this Medicare group
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 Coby Contreras's NPI number?
The NPI number for Coby Contreras is 1962367235. It was assigned to this individual provider in the NPPES registry on December 18, 2025.
Where is Coby Contreras located?
Coby Contreras practices at 8727 W Ardene St Ste 102G, Boise, ID 83709. The listed phone number is (208) 322-6200.
What is Coby Contreras's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.
Is Coby Contreras enrolled in Medicare?
Yes. Coby Contreras 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.
Which organization bills Medicare for Coby Contreras's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Coby Contreras reassigns Medicare benefits to Mountain Land Rehabilitation LLC (Salt Lake City, UT). The 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 Coby Contreras's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Coby Contreras was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Coby Contreras, PT, DPT · NPI 1962367235
Sports provider in Boise, Idaho. Individual provider, active in the CMS NPPES registry since December 18, 2025.
## Identity
- **NPI:** 1962367235 (Entity type: Individual)
- **Enumerated:** December 18, 2025
- **Primary specialty:** Physical Therapist - Sports · taxonomy 2251S0007X
- **State license:** PT021369 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 8727 W ARDENE ST STE 102G, Boise, ID 83709-2627
- **Phone:** (208) 322-6200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Mountain Land Rehabilitation LLC (NPI 1265549372, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2024
## Record status
- **NPPES last updated:** December 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962367235) · Data from the CMS NPPES public registry.