Active NPI
Casey Tulcan, PT, DPT
- Physical Therapist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3761378
- Practice address
- 7711 W Riverside Dr
Boise, ID 83714-6254 - Phone
- (208) 813-9544
- Fax
- (208) 810-4499
- NPI assigned
- May 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 302067 | CA | |
| Physical Therapist | 225100000X | 3761378 | ID | Primary |
Addresses
Primary practice location
7711 W Riverside Dr
Boise, ID 83714-6254
Mailing address
1411 Falls Ave E Ste 401
Twin Falls, ID 83301-3455
Phone (208) 813-9544
Other practice location 1
23001 Del Lago Dr Ste C1
Laguna Hills, CA 92653-1354
Phone (949) 387-7333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, ID
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7711 W Riverside Dr
Boise, ID 83714-6182
Phone (208) 813-9544
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302067 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wright Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Prosport Physical Therapy Professionals Inc | Physical Therapist | Current | Accepting new patients |
| Prosport Physical Therapy Professionals Inc | Physical Therapist | Current | Accepting new patients |
| Wright Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Prosport Physical Therapy Professionals Inc | Physical Therapist | Current | Accepting new patients |
Locations
26672 Portola Pkwy
Ste 116
Foothill Rnch, CA 92610
Phone (714) 450-4999
23001 Del Lago Dr
Ste C1
Laguna Hills, CA 92653
Phone (949) 387-7331
7711 W Riverside Dr
Boise, ID 83714
Phone (208) 813-9544
1444 Falls Ave E
Twin Falls, ID 83301
Phone (208) 736-2574
1411 Falls Ave E
Ste 401
Twin Falls, ID 83301
Phone (208) 969-9945
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.
-
- Physical Therapist
- Twin Falls, ID
- NPI 1730732025
-
- Physical Therapy Clinic/Center
- Costa Mesa, CA
- NPI 1073170437
Physical Therapist
-
- Physical Therapist
- Rancho Palos Verdes, CA
- NPI 1487648341
-
- Physical Therapy Clinic/Center
- Mission Viejo, CA
- NPI 1922031731
Physical Therapist
-
- Physical Therapist
- Logan, UT
- NPI 1770317455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1700524790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 FALLS AVE E STE 401",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013455",
"telephone_number": "208-813-9544",
"fax_number": "208-810-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7711 W RIVERSIDE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837146254",
"telephone_number": "208-813-9544",
"fax_number": "208-810-4499"
}
],
"practiceLocations": [
{
"address_1": "23001 Del Lago Dr Ste C1",
"address_purpose": "LOCATION",
"city": "Laguna Hills",
"state": "CA",
"postal_code": "926531354",
"country_code": "US",
"telephone_number": "949-387-7333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TULCAN",
"first_name": "CASEY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-20",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "302067",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "3761378",
"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 Mar 5, 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.