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

Individual provider Physical Therapist · NPI 1801249545

Zachary Braddock, PT, DPT is a Physical Therapist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2016.

Licensed in
ID
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1109 W Myrtle St Ste 200
Boise, ID 83702-6970
Phone: (208) 489-4331
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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-4501 (ID)

Record details

NPI number1801249545
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJuly 18, 2016
Last updated in NPPESJuly 18, 2016
Mailing address6578 N Spurwing Way, Meridian, ID 83646-6454

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