Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Cody Oliver Jr., PT, DPT

Individual provider Pediatric Physical Therapist · NPI 1689012049

Charles Cody Oliver Jr., PT, DPT is a Pediatric Physical Therapist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2013
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

7211 W Franklin Rd
Boise, ID 83709-0926
Phone: (208) 375-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT-3307 (ID)

Record details

NPI number1689012049
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJune 7, 2013
Last updated in NPPESJune 7, 2013

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