P Praxis·MD
● Active Type 1 · Individual

Kenneth Gardner, DPT

Physical Therapist·Nampa, ID· NPI 1699338939 · Enumerated 2019 · 7 years on NPI
Gardner is 1 of 100 physical therapist providers in Nampa and 1 of 2006 in Idaho.
NPI age
7 years
Enumerated 2019-04-22
Primary specialty
Physical Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-12-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2006 active physical therapist providers in Idaho.

NPI age
7 years
↓ 4 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-04Enumerated in NPPES
2019 2026

Where they practice

Practice location
2005 12th Ave Rd
Nampa, ID 836866311
📞 2084630022fax 2084630031
Mailing address
1650 Lyndon Farm Ct Ste 300
Louisville, KY 402235005
📞 9513747288fax 9516665099

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2780 E Barnett Rd Ste 200
Medford, OR 975048674
📞 5417796250fax 5417722531

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 #8980 taxonomy 225100000X

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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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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