Jody Alison Thatcher Bullard, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1137 Issued in ID

Practice address

2302 N Bogus Basin Rd
Suite C
Boise, ID 83702-0902

Phone

(208) 344-0737

Fax

(208) 344-0759

NPI assigned

Dec 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy at Thrive, LLCGroup PAC ID 4486705217, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Physical Therapy at Thrive, LLC

  • Orthopedic Physical Therapist
  • Boise, ID
  • NPI 1578799094
  Medicare reassignment Care Compare group NPD Authorized official
• Focus Physical Therapy

  • Physical Therapy Clinic/Center
  • Boise, ID
  • NPI 1003962036
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1881759645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 N BOGUS BASIN RD STE C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837021024",
            "telephone_number": "208-344-0737",
            "fax_number": "208-344-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 N BOGUS BASIN RD",
            "address_2": "SUITE C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837020902",
            "telephone_number": "208-344-0737",
            "fax_number": "208-344-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "JODY",
        "middle_name": "ALISON THATCHER",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1137",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ID",
            "license": "PT-1137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer C Buker, RD
• Holly Bukky
• Kassie Bull, MD
• Kylie Michelle Bull, CCC-SLP
• Emily Jean Bullard, LCSW
• Maree Bullers, NNP
• Marlayna Bullington
• Jamie Bumgardner, PMHNP-BC
• Bryan G Bumgarner, LCSW
• Charles K Bunch, PHD

• 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 Aug 26, 2026; 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.