Healthcare Provider Details

I. General information

NPI: 1568323772
Provider Name (Legal Business Name): HYPT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

554 S 5400 W
MALAD CITY ID
83252-6556
US

IV. Provider business mailing address

554 S 5400 W
MALAD CITY ID
83252-6556
US

V. Phone/Fax

Practice location:
  • Phone: 208-201-0519
  • Fax:
Mailing address:
  • Phone: 208-201-0519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. MICAH DEAN WEBER
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT
Phone: 208-220-1105