Corey Dupont, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2398 Issued in ID

Practice address

910 E Washington St
Boise, ID 83712-7321

Phone

(208) 570-3004

NPI assigned

Jul 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dupont Wellness PLLCGroup PAC ID 8426494238, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dupont Wellness PLLC

  • Physical Therapy Clinic/Center
  • Boise, ID
  • NPI 1861254278

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Key Stone Health Care

  • Gerontology Nurse Practitioner
  • Eagle, ID
  • NPI 1932520640
  Medicare reassignment NPD
• Therapeutic Associates Inc

  • Physical Therapist
  • Boise, ID
  • NPI 1487630240
  Medicare reassignment NPD
• Keystone Hospice, LLC

  • Community Based Hospice Care Agency
  • Eagle, ID
  • NPI 1427421114
  NPD
• Therapeutic Associates Inc

  • Physical Therapist
  • Boise, ID
  • NPI 1326024472
  NPD
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1144042649
  NPD
• Action Point Physical Therapy LLC

  • Rehabilitation Clinic/Center
  • Sandpoint, ID
  • NPI 1821502204

  Physical Therapist

  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1639334279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E WASHINGTON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837127321",
            "telephone_number": "208-570-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E WASHINGTON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837127321",
            "telephone_number": "208-570-3004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 W State St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837024003",
            "country_code": "US",
            "telephone_number": "208-336-0017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPONT",
        "first_name": "COREY",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6101",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808487601",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01610741",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639334279-000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dunstan and Newcomb, LLC
• Hilary I Dunstan, DDS
• Amanda Duplisea, FNP
• Michael James Duplisea, MD
• Dupont Wellness PLLC
• Marady Duran, LMSW
• Brooklynn Durant
• Durdur LLC
• Kelli Duren
• Ashley M Durham, PHARMD

• Physical Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.