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

Raina Desha, DPT

Individual provider Physical Therapist · NPI 1609737352

Raina Desha, DPT is a Physical Therapist in Private Practice in Boise, Idaho. Qualified in 2023, 3 years ago. Practices with Mountain Land Rehabilitation LLC, a 203-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1961 S Broadway Ave
Boise, ID 83706-4201
Phone: (208) 422-9826
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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 1771881 (ID)

Record details

NPI number1609737352
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 21, 2025
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mountain Land Rehabilitation Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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