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

Beau Stephen Lockmer, PT, DPT

Individual provider Physical Therapist · NPI 1407421126

Beau Stephen Lockmer, PT, DPT is a Physical Therapist in Private Practice in Boise, Idaho. Qualified in 2021, 5 years ago. Practices with Foothills Physical Therapy PA, a 27-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1673 W Shoreline Dr Ste 230
Boise, ID 83702-6752
Phone: (208) 343-4700
Fax: (208) 343-4706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-7235 (ID)

Record details

NPI number1407421126
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 25, 2021
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021

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 Foothills Physical Therapy Pa — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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