NPI age
4 years
Enumerated 2021-06-04
● Active
Type 1 · Individual
Miranda Wilson, DPT
Wilson is 1 of 12 clinic/center providers in Meridian and 1 of 120 in Idaho.
Primary specialty
Clinic/Center
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-06-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 120 active clinic/center providers in Idaho.
NPI age
4 years
↓ 4 yr below median (8 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-06Enumerated in NPPES
2021
2026
Where they practice
Practice location
2316 S Eagle Rd
Meridian, ID 836422665
Mailing address
996 E Cayman Dr
Meridian, ID 836426661
Additional practice locations
1 secondary location on file with NPPES.
Location 2
600 N Robbins Rd
Boise, ID 837024565
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
Part of a multi-provider practice. 3 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.