Pacific Healthline PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PACIFIC HEALTHLINE PLLC

Practice address

1501 S Five Mile Rd
Boise, ID 83709-1374

Phone

(208) 322-1008

Fax

(844) 647-2550

NPI assigned

Jan 8, 2026

Organization subpart

No

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

Authorized official

Name

Kyndahl Marie Bruner, DPTNPI 1689252462

Title

Doctor of Physical Therapy

Phone

(208) 935-5074

Specialties & licenses 1

Addresses

Other names 1

• Purpose Built Physical Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyndahl Marie Bruner, DPT

  • Physical Therapist
  • Boise, ID
  • NPI 1689252462
  NPD Authorized official

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1881551067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11078 W TIOGA ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093341",
            "telephone_number": "208-935-5074",
            "fax_number": "844-647-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091374",
            "telephone_number": "208-322-1008",
            "fax_number": "844-647-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEALTHLINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "BRUNER",
        "authorized_official_first_name": "KYNDAHL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "208-935-5074",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purpose Built Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary R. Pabalis, O.D.
• Ashlynn Irene Pabawena
• Jose Gerardo Pacheco, LICSW, MSW
• Martha Marie Pacheco, M.D.
• Pacific Cataract and Laser Institute Inc PC
• Pacific Hospice Inc
• Pacific Medical, Inc.
• Pacific Northwest Surgical Associates PC
• Sally Eileen Packard, RN
• Allison Packer, 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 Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.