Olivia Filicetti, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-8514 Issued in ID

Practice address

1175 E Parkcenter Blvd Ste 104a
Boise, ID 83706-6752

Phone

(208) 807-2486

Fax

(208) 806-9698

NPI assigned

May 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restore Physical Therapy PCGroup PAC ID 0143503607, 9 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.

• Restore Physical Therapy PC

  • Physical Therapist
  • Boise, ID
  • NPI 1790236511
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1922790310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5418 N EAGLE RD STE 170",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130999",
            "telephone_number": "208-501-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 E PARKCENTER BLVD STE 104A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066752",
            "telephone_number": "208-807-2486",
            "fax_number": "208-806-9698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5418 N Eagle Rd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837130999",
            "country_code": "US",
            "telephone_number": "208-501-8264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FILICETTI",
        "first_name": "OLIVIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-8514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric J Fieldstad II, LCSW
• Annie C Fife, NP
• Errol Chandler Fife, DDS
• Steven P. Filer, PH.D (ABD)
• Mark Anthony Filicetti, RPH
• Tiffany A Finateri, LMSW
• Finch and Fox Therapy Group LLC
• Whitney Lynn Finch
• Catherine Elizabeth Findling
• Gretchen Finley, LCPC

• 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 Nov 20, 2024; 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.