NPI age
19 years
Enumerated 2006-08-13
● Active
Type 1 · Individual
Nancy McCullough, OTR
McCullough is 1 of 2 physical therapist providers in Boise and 1 of 2 in Idaho.
Primary specialty
Physical Therapist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2008-02-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2 active physical therapist providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
600 N Robbins Rd, Ste 100
Boise, ID 837024566
Mailing address
600 N Robbins Rd, Ste 401
Boise, ID 837024566
Specialties
-
Physical Therapist PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 120 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.