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

Lisa M. Swan, PT949

Individual provider Physical Therapist · NPI 1275603086

Lisa M. Swan, PT949 is a Physical Therapist in Private Practice in Boise, Idaho. Qualified in 1995, 31 years ago. Practices with Idaho Sports Medicine Institute PA, a 12-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
31
Licensed in
ID
In the registry since
2006
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Practice location Address checks out

1188 W University Dr Ste 230
Boise, ID 83706-3009
Phone: (208) 336-8250
Fax: (208) 345-9514
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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 PT949 (ID)

Record details

NPI number1275603086
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT949
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Idaho Sports Medicine Institute Pa — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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