IndividualActive
Miranda Wilson, DPT
NPI 1639746092 · Physical Therapy Clinic/Center · Meridian, ID
Provider details
- NPI number
- 1639746092
- Entity type
- Individual
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7420 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
2316 S Eagle Rd
Meridian, ID 83642-2665
Phone: (208) 286-2707
Street-level locationGet directions
Mailing address
996 E Cayman Dr
Meridian, ID 83642-6661
Additional practice locations (1)
- 600 N Robbins RdBoise, ID 83702-4565Phone: (208) 489-4444
Registry dates
- Enumerated
- 2021-06-04
- Last updated
- 2021-06-04
- Certified
- 2021-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.