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

Beau Urbaniak

Individual provider Physical Therapist · NPI 1023700499

Beau Urbaniak is a Physical Therapist in Private Practice in Boise, Idaho. Qualified in 2023, 3 years ago. Practices with Columbia Physical Therapy Inc Ps, a 45-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2023
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Practice location Address checks out

7421 W Victory Rd Ste 103
Boise, ID 83709-6764
Phone: (208) 514-3736
Fax: (208) 514-3672
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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 PT8650 (ID)

Record details

NPI number1023700499
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 24, 2023
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Columbia Physical Therapy Inc Ps — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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