Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Functional Physical Therapy Center

Organization Physical Therapy Clinic/Center · NPI 1902182298

Functional Physical Therapy Center is a Physical Therapy Clinic/Center in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011

Practice location Address checks out

8950 W Emerald St Ste 195
Boise, ID 83704-4854
Phone: (208) 376-7313
Fax: (208) 376-7487
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence PT670 (ID)

Record details

NPI number1902182298
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rajcoomar Issuree — Physical Therapist/Director · (208) 376-7313
NPI enumeratedOctober 31, 2011
Last updated in NPPESApril 16, 2012
Mailing address8950 W Emerald St, Suite 195, Boise, ID 83704-4854

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