Boost Ventures PLLC
NPI 1740883172ActiveOrganization· Physical Therapist· Rexburg, ID
Physical Therapist in Rexburg, Idaho, registered in NPPES in November 2020. The authorized official on file is Blake Galbraith, DPT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740883172 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 18, 2020 |
| Last updated in NPPES | Nov 18, 2020 |
| Certified by provider | Nov 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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