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

Alex Charles Godderidge, DPT

Individual provider Physical Therapist · NPI 1942951736

Alex Charles Godderidge, DPT is a Physical Therapist in Private Practice in Boise, Idaho. Qualified in 2021, 5 years ago. Practices with Zrj Inc, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

12072 W McMillan Rd
Boise, ID 83713-2462
Phone: (208) 939-0533
Fax: (208) 939-3341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2175 N Whitley Dr, Fruitland, ID 83619-2132 — (208) 452-7197

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-7679 (ID)

Record details

NPI number1942951736
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 12, 2022
Last updated in NPPESDecember 1, 2023
Certification dateDecember 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Zrj Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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