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

Individual provider Orthopedic Physical Therapist · NPI 1497439095

Jaylan Isaiah Hibbard, DPT is a Physical Therapist in Private Practice in Boise, Idaho. Qualified in 2023, 3 years ago. Practices with Achieve Physical Therapy PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2023
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

4776 N Five Mile Rd Ste 101
Boise, ID 83713-2715
Phone: (208) 658-9500
Fax: (208) 658-9501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 8544 (ID)

Record details

NPI number1497439095
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 14, 2023
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023
Mailing address4776 N Five Mile Rd Ste 101, Boise, ID 83713-2715

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 Achieve Physical Therapy Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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