Blake Lee Galbraith, DPT
Individual provider Active NPI Physical Therapist · Rexburg, ID
NPI 1497277412 · NPPES record last updated Jan 28, 2026
Key facts
- NPI
- 1497277412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT-5200 (ID)
- Practice address
- 36 N 2ND W
Rexburg, ID 83440-1515 - Phone
- (208) 359-2500
- NPI assigned
- Jul 11, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
36 N 2ND
Rexburg, ID 83440-1515
Phone (208) 313-7569
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170818001268 | ID | Practitioner - Physical Therapist in Private Practice | 8921370479 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boost Ventures PLLC | Physical Therapist | Current |
Accepting new patients |
Locations
36 N 2nd W
Rexburg, ID 83440
Phone (208) 313-7569
Interoperability endpoints
- bgalbraith@boostpt.direct.kno2fy.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-5200 | ID | Yes |
Addresses
Primary practice location
36 N 2ND W
Rexburg, ID 83440-1515
Mailing address
36 N 2ND W
Rexburg, ID 83440-1515
Phone (208) 313-7569
Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.