NPI age
12 years
Enumerated 2014-01-14
● Active Type 2 · Organization
62 Degrees Physical Therapy
62 Degrees Physical Therapy is 1 of 2006 physical therapist organizations in Idaho.
Primary specialty
Physical Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moffett
Owner/member
Last NPPES update
2014-01-14
Source: monthly bulk 2026-05
How this organization compares
Across 2006 active physical therapist providers in Idaho.
NPI age
12 years
≈ at median (11 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-01Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
8660 W Emerald St
Boise, ID 837044825
Mailing address
8660 W Emerald St
Boise, ID 837044825
Authorized official
Katrin Hurley Moffett, PT, DPT, CWS, FACCWS
Owner/member
📞 2083217831
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Annalisa Gardner Social Worker NPI 1669221586
- J Moss, D.D.S. Dentist NPI 1518026004
Specialties
-
Physical Therapist PrimaryPhysical 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Myofascial Release Center
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.