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

Mr. Bruce J. Wallentine, MPT

Individual provider Physical Therapist · NPI 1023129251

Mr. Bruce J. Wallentine, MPT is a Physical Therapist in Ovid, Idaho. Practices as a sole proprietor. Licensed in Idaho, Utah and Wyoming.

Licensed in
ID, UT, WY
In the registry since
2006
Specialties on file
3
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

900 Lanark Rd
Ovid, ID 83254-4934
Phone: (208) 945-2900
Fax: (208) 945-2900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-593 (ID)
Physical Therapist Taxonomy 225100000X · Licence PT-389 (WY)
Physical Therapist Taxonomy 225100000X · Licence 362968-2401 (UT)

Record details

NPI number1023129251
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007