Renew Manual Physical Therapy PLLC
NPI 1013436641ActiveOrganization· Physical Therapist· Boise, ID
Physical Therapist in Boise, Idaho, registered in NPPES in September 2017. The authorized official on file is Breann Faye Suddock Fox, PT, DPT, PRPC, Owner/Therapist.
Overview
| NPI | 1013436641 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT-5245 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other physical therapists in Boise
- 1740966019
- 1003863457
- 1013136209
- 1013660562
- 1023700499
- 1033583117
- 1043402316
- 1073551560
- 1083620553
- 1093156689
- 1114363199
- 1124005095
All 474 physical therapists in Boise · All physical therapists in Idaho