NPI age
7 years
Enumerated 2019-05-01
● Active
Type 1 · Individual
Jason Detwiler
Detwiler is 1 of 53 physical therapy assistant providers in Boise and 1 of 272 in Idaho.
Primary specialty
Physical Therapy Assistant
Licensed in
NJ
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-05-01
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 272 active physical therapy assistant providers in Idaho.
NPI age
7 years
↓ 2 yr below median (9 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-05Enumerated in NPPES
2019
2026
Where they practice
Practice location
2411 S Essex Way
Boise, ID 837092304
Mailing address
2411 S Essex Way
Boise, ID 837092304
Specialties
-
Physical Therapy Assistant Primary(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
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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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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