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

Jesse Sampogna, DPT

Individual provider Physical Therapist · NPI 1285258186

Jesse Sampogna, DPT is a Physical Therapist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020
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

9508 W Fairview Ave
Boise, ID 83704-8103
Phone: (208) 323-1313
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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-6709 (ID)

Record details

NPI number1285258186
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 5, 2020
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020
Mailing address6023 S Kelso Way, Boise, ID 83709-4055

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