NPI age
5 years
Enumerated 2021-01-20
● Active Type 2 · Organization
Body Wise Physical Therapy Pllc
Body Wise Physical Therapy Pllc is 1 of 120 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hoggatt
Manager/director
Last NPPES update
2021-09-29
Source: monthly bulk 2026-05
How this organization compares
Across 120 active clinic/center providers in Idaho.
NPI age
5 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-01Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
2717 W Bannock St Ste 101
Boise, ID 837024724
Mailing address
2717 W Bannock St Ste 101
Boise, ID 837024724
Authorized official
Douglas Winston Hoggatt, PT
Manager/director
📞 2088419900
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Richard Blood, LCPC Counselor NPI 1811985419
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
Practice context
Multi-provider organization. 1 individual provider 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 →
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