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● Active Type 1 · Individual

Dr. Kennedy Poplawski Gillespie, DPT

Physical Therapist·Meridian, ID· NPI 1003418765 · Enumerated 2020 · 5 years on NPI
Gillespie is 1 of 203 physical therapist providers in Meridian and 1 of 2,068 in Idaho.
NPI age
5 years
Enumerated 2020-11-09
Primary specialty
Physical Therapist
Plus 1 subspecialty
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-11-29
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2068 active physical therapist providers in Idaho.

NPI age
5 years
↓ 6 yr below median (11 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2020 → 2022

2020-11Enumerated in NPPES
2020 2022

Where they practice

Practice location
90 E Ustick Rd Ste 150
Meridian, ID 836466134
📞 2088950715fax 2088950746
Mailing address
90 E Ustick Rd Ste 150
Meridian, ID 836466134
📞 2088950715fax 2088950746

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
6759 Sierra Ct
Dublin, CA 945682670
📞 9258030530
Location 3
1015 12th Ave S Ste 105
Nampa, ID 836514660
📞 2084674357fax 2084674395

Specialties

  • Physical Therapist Primary
    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...
    ID license #7973CA license #299461 taxonomy 225100000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 7 new physical therapist providers have been added in Meridian in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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