Individual provider Active NPI

David S Ray, MPT

  • Physical Therapist
  • Boise, ID
National Provider Identifier
1386685493
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-973 Issued in ID
Practice address
1175 E Parkcenter Blvd
Ste 101
Boise, ID 83706-6751
Phone
(208) 367-1010
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-973 ID Primary

Addresses

Primary practice location

1175 E Parkcenter Blvd
Ste 101
Boise, ID 83706-6751

Mailing address

3090 E Gentry Way
Ste 250
Meridian, ID 83642-3501
Phone (208) 888-0044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040710000209 ID Practitioner - Physical Therapist in Private Practice 0749181121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8854 W Emerald St
Suite 280
Boise, ID 83704-4830
Phone (208) 377-5005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-973IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Action Therapy Physical Therapist CurrentSince Jun 8, 2017 Accepting new patients
Advanced Family Medicine PLLC CurrentSince Aug 23, 2021 Accepting new patients
Idaho Physical Therapy Inc. Physical Therapist PastSince Oct 2, 1991 Accepting new patients
Peak Physical Therapy P C Physical Therapist PastSince Dec 1, 2022 Accepting new patients

Locations

1175 E Parkcenter Blvd
Ste 101
Boise, ID 83706
Phone (208) 367-1010

8854 W Emerald St
Ste 280
Boise, ID 83704
Phone (208) 377-5005

3090 E Gentry Way
Ste 250
Meridian, ID 83642
Phone (208) 321-7896

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386685493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 E GENTRY WAY",
            "address_2": "STE 250",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423501",
            "telephone_number": "208-888-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 E PARKCENTER BLVD",
            "address_2": "STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066751",
            "telephone_number": "208-367-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.