P Praxis·MD
● Active Type 1 · Individual

MR. Bruce J. Wallentine, MPT

Physical Therapist·Ovid, ID· NPI 1023129251 · Enumerated 2006 · 19 years on NPI
Wallentine is 1 of 1 physical therapist providers in Ovid and 1 of 2006 in Idaho.
NPI age
19 years
Enumerated 2006-08-31
Primary specialty
Physical Therapist
Plus 2 subspecialties
Licensed in
ID, WY, UT
3 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2006 active physical therapist providers in Idaho.

NPI age
19 years
↑ 8 yr above median (11 yr)
State licenses
3 states
Top 91% — 9% of peers are multi-state
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
900 Lanark Rd
Ovid, ID 832544934
📞 2089452900fax 2089452900
Mailing address
900 Lanark Rd
Ovid, ID 832544934
📞 2089452900fax 2089452900

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 #PT-593WY license #PT-389UT license #362968-2401 taxonomy 225100000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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