Nickalus Davis, PT
NPI 1336615749 · Physical Therapist · Boise, ID
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nickalus Davis, PT is a Physical Therapist provider in Boise, ID (NPI 1336615749).
Provider details
- NPI number
- 1336615749
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- PT-5619 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,119 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 436 | $26 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 289 | $20 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 210 | $21 |
| Therapy Procedure Using Functional Activities97530 | 142 | $32 |
| Training for Self-Care Or Home Management, Each 15 Minutes97535 | 25 | $23 |
| Evaluation for Physical Therapy, Typically 45 Minutes97163 | 17 | $93 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-23
- Last updated
- 2023-04-18
- Certified
- 2023-04-18
Frequently asked questions
- What is Nickalus Davis's NPI number?
- Nickalus Davis's National Provider Identifier (NPI) is 1336615749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nickalus Davis's specialty?
- Nickalus Davis is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Nickalus Davis located?
- Nickalus Davis's practice location on file with NPPES is 1010 S Allante Pl Ste 101, Boise, ID 83709-1660.
- What is Nickalus Davis's phone number?
- The practice phone number listed in the NPPES registry for Nickalus Davis is (208) 370-5166.
- Does Nickalus Davis accept Medicare?
- Nickalus Davis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nickalus Davis's NPI active?
- Yes — Nickalus Davis's NPI (1336615749) is active in the NPPES registry as of the last update on 2023-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.