Individual provider Active NPI

Casey Tulcan, PT, DPT

  • Physical Therapist
  • Boise, ID
National Provider Identifier
1700524790
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3761378 Issued in ID
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

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220602000494 CA Practitioner - Physical Therapist in Private Practice 9931587060 Reassigns benefits to 1 organization
I20250414001324 ID Practitioner - Physical Therapist in Private Practice 9931587060 Reassigns benefits to 1 organization

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
Wright Physical Therapy Limited PartnershipGroup PAC ID 1759612641, 52 clinicians

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

LicenseStateTypeSpecialty
302067CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Physical Therapy Limited Partnership Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients
Prosport Physical Therapy Professionals Inc Physical Therapist CurrentSince May 13, 2022 Accepting new patients
Prosport Physical Therapy Professionals Inc Physical Therapist Current Accepting new patients
Wright Physical Therapy Limited Partnership Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients
Prosport Physical Therapy Professionals Inc Physical Therapist CurrentSince May 13, 2022 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.

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.

Verify at the official NPI Registry.