NPI Code Details Logo

NPI 1003477274

NPI 1003477274 : BRIDGET GILBERTSON PT, DPT : BOISE, ID

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1003477274
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BRIDGET GILBERTSON PT, DPT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/27/2019
-----------------------------------------------------
    Last Update Date     |    10/08/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2931 N MAYWOOD AVE 
-----------------------------------------------------
    City                 |    BOISE
-----------------------------------------------------
    State                |    ID
-----------------------------------------------------
    Zip                  |    83704-5681
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    385-498-1740
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    SWORD HEALTH INC., 13937 SPRAGUE LANE SUITE 100
-----------------------------------------------------
    City                 |    DRAPER
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84020
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    385-308-8034
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    TPPT370
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2251X0800X
-----------------------------------------------------
    Taxonomy Name        |    Orthopedic Physical Therapist
-----------------------------------------------------
    License Number       |    305694
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2251X0800X
-----------------------------------------------------
    Taxonomy Name        |    Orthopedic Physical Therapist
-----------------------------------------------------
    License Number       |    PT020971
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2251X0800X
-----------------------------------------------------
    Taxonomy Name        |    Orthopedic Physical Therapist
-----------------------------------------------------
    License Number       |    PT032114
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    2251X0800X
-----------------------------------------------------
    Taxonomy Name        |    Orthopedic Physical Therapist
-----------------------------------------------------
    License Number       |    051876
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    2251X0800X
-----------------------------------------------------
    Taxonomy Name        |    Orthopedic Physical Therapist
-----------------------------------------------------
    License Number       |    1390140
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    2251X0800X
-----------------------------------------------------
    Taxonomy Name        |    Orthopedic Physical Therapist
-----------------------------------------------------
    License Number       |    070028144
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    2251X0800X
-----------------------------------------------------
    Taxonomy Name        |    Orthopedic Physical Therapist
-----------------------------------------------------
    License Number       |    6248
-----------------------------------------------------
    License Number State |    ID
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    PTH11831
-----------------------------------------------------
    License Number State |    AL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.