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

Jessica Ann Gardner

Individual provider Physical Therapist · NPI 1720753072

Jessica Ann Gardner is a Physical Therapist in Private Practice in Boise, Idaho. Qualified in 2021, 5 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2021
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Practice location Address checks out

8921 W Hackamore Dr
Boise, ID 83709-1673
Phone: (208) 375-1105
Fax: (208) 377-7707
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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-7208 (ID)

Record details

NPI number1720753072
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2021
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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