P Praxis·MD
● Active Type 1 · Individual

DR. Corey Dupont, PT

Physical Therapist·Boise, ID· NPI 1639334279 · Enumerated 2008 · 17 years on NPI
Dupont is 1 of 459 physical therapist providers in Boise and 1 of 2006 in Idaho.
NPI age
17 years
Enumerated 2008-07-23
Primary specialty
Physical Therapist
Plus 1 subspecialty
Licensed in
ID, OR
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-02-06
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
17 years
↑ 6 yr above median (11 yr)
State licenses
2 states
Top 91% — 9% of peers are multi-state
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-07Enumerated in NPPES
2008 2026

Where they practice

Practice location
910 E Washington St
Boise, ID 837127321
📞 2085703004
Mailing address
910 E Washington St
Boise, ID 837127321
📞 2085703004

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1625 W State St Ste 100
Boise, ID 837024003
📞 2083360017

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-2398OR license #6101 taxonomy 225100000X

Identifiers

TypeValueNotes
05 (ID) 808487601
01 (ID) P01610741 RR MEDICARE
05 (ID) 1639334279-000
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 5 new physical therapist providers have been added in Boise in the last 180 days. See all →
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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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