NPI age
4 years
Enumerated 2022-01-12
● Active
Type 1 · Individual
Alex Charles Godderidge, DPT
Godderidge is 1 of 459 physical therapist providers in Boise and 1 of 2006 in Idaho.
Primary specialty
Physical Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-12-01
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
4 years
↓ 7 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-01Enumerated in NPPES
2022
2026
Where they practice
Practice location
12072 W McMillan Rd
Boise, ID 837132462
Mailing address
119 S. Valley Dr. Ste A #178
Nampa, ID 83686
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2175 N Whitley Dr
Fruitland, ID 836192132
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) | PT-7679 | STATE LICENSE |
Practice context
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
Recently enumerated nearby: 4 new physical therapist providers have been added in Boise in the last 180 days.
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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.