NPI age
19 years
Enumerated 2007-05-13
● Active Type 2 · Organization
Boulder Mountain Physical Therapy
Boulder Mountain Physical Therapy is 1 of 2006 physical therapist organizations in Idaho.
Primary specialty
Physical Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Morgan
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 2006 active physical therapist providers in Idaho.
NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
507 S Main St
Hailey, ID 833338428
Mailing address
Po Box 1191
Hailey, ID 833331191
Authorized official
Mark Morgan, P.T.
President
📞 2087880061
Individual providers at this organization
4 individual providers on file at this primary practice address.
- David Budge, PA Physician Assistant NPI 1588754162
- Amanda King, MPT Physical Therapist NPI 1376769992
- Kylee Richmond, PA-C Physician Assistant NPI 1962069401
- Cynda Tomlinson, M.D. Family Medicine NPI 1891703070
Specialties
-
Physical Therapist PrimaryPhysical 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010136534 | BLUE SHIELD |
| 01 (ID) | T9685 | BLUE CROSS |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 2006 Physical Therapist providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.