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

Kenneth J Murdock

Individual provider Physical Therapist · NPI 1417456815

Kenneth J Murdock is a Physical Therapist in Private Practice in Emmett, Idaho. Qualified in 2012, 14 years ago. Practices with Peak Physical Therapy P C, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
14
Licensed in
ID
In the registry since
2018
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Practice location Address checks out

809 S Washington Ave
Emmett, ID 83617-3528
Phone: (208) 365-5341
Fax: (208) 365-5343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 533 S Middleton Rd Ste 100, Middleton, ID 83644-6014 — (208) 585-6566

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT5614 (ID)

Record details

NPI number1417456815
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 12, 2018
Last updated in NPPESMarch 17, 2018
Mailing address7550 W Emerald St, Boise, ID 83704-9015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Peak Physical Therapy P C — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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