NPI age
12 years
Enumerated 2013-06-07
● Active
Type 1 · Individual
Charles Cody Oliver JR., PT, DPT
Oliver is 1 of 12 physical therapist providers in Boise and 1 of 44 in Idaho.
Primary specialty
Physical Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-06-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 44 active physical therapist providers in Idaho.
NPI age
12 years
↑ 3 yr above median (9 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-06Enumerated in NPPES
2013
2026
Where they practice
Practice location
7211 W Franklin Rd
Boise, ID 837090926
Mailing address
3161 S Glacier Bay Way
Meridian, ID 836427824
Specialties
-
Physical Therapist PrimaryA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic...
Practice context
Part of a multi-provider practice. 22 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 →
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