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

MS. Jody Alison Thatcher Bullard, PT

Individual provider Physical Therapist · NPI 1881759645

MS. Jody Alison Thatcher Bullard, PT is a Physical Therapist in Private Practice in Boise, Idaho. Qualified in 1996, 30 years ago. Practices with Physical Therapy at Thrive, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
30
Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2302 N Bogus Basin Rd Ste C
Boise, ID 83702-0902
Phone: (208) 344-0737
Fax: (208) 344-0759
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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-1137 (ID)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence PT-1137 (ID)

Record details

NPI number1881759645
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 22, 2006
Last updated in NPPESApril 25, 2010

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Physical Therapy At Thrive, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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