NPPES file of Aug 9, 2026

Nickalus Shane Davis, PT

Physical Therapist · Boise, ID

Nickalus Shane Davis, PT is a physical therapist with a practice address in Boise, Idaho, and NPI 1336615749, issued on Oct 23, 2018. Check the license (Idaho PT-5619, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1336615749
Name
Nickalus Shane Davis
Credential
PT
Primary taxonomy
Physical Therapist 225100000X
License number
PT-5619 ID
Self-reported in NPPES; status is on the state search
Practice location
1010 S Allante PL Ste 101, Boise, ID 83709
Phone
(208) 370-5166
Enumerated
Oct 23, 2018
Record last updated
Apr 18, 2023
Medicare enrollment
Enrolled (PECOS I20190312001256); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest physical therapist records → All 1,768 in Idaho → Look up another NPI →

Also registered at 1010 S Allante PL Ste 101

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. William McMartin, DPTPhysical Therapist1568904274

Verify Nickalus Shane Davis in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Idaho board licenses this profession
    Search for license PT-5619    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Idaho license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Mcmartin LLCBoise, ID

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Nickalus Shane Davis among 1,768 physical therapist records in Idaho

Nickalus Shane Davis, PT is one of 1,768 physical therapist records with a practice address in Idaho. 36% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 61% of them.

  • NPI issued2018 · 61% of these records are older, 35% newer
  • In a Medicare fileYes · 36% of these records are
  • In the CMS Doctors and Clinicians fileYes · 40% of these records are
  • Graduated2018 · median 2017 among the 704 with a school on file
  • Record last updated2023 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

435 physical therapist records list a practice address in Boise

They are 435 of the 9,467 NPPES records with a practice address in Boise, and 1,768 physical therapist records in Idaho.

All 1,768 in Idaho → Every provider in Boise → Physical Therapist nationwide →

The 8 physical therapist records with the nearest ZIP codes

  1. Kevin Allred, PTBoise, ID 837091467749788
  2. Jeffrey Box, PTBoise, ID 837091104928258
  3. Erica Bunnell, DPTBoise, ID 837091013109313
  4. Heather Clark, PT, DPTBoise, ID 837091023484318
  5. Lisa Fernandez, P.T.Boise, ID 837091861538597
  6. Mary Heckel, PTBoise, ID 837091124170121
  7. Melissa HorneBoise, ID 837091780131987
  8. Joseph Jannuzzi, DPT, SCSBoise, ID 837091053756882

Common questions

What is Nickalus Shane Davis, PT's NPI number?

Nickalus Shane Davis, PT's National Provider Identifier (NPI) is 1336615749, issued on Oct 23, 2018. An NPI identifies a provider in billing; it is not a license.

Where is Nickalus Shane Davis, PT located?

The NPPES record lists a practice address at 1010 S Allante PL Ste 101, Boise, ID, 83709. Phone: (208) 370-5166. Providers update this record themselves, so call before visiting.

How can I verify Nickalus Shane Davis, PT's license?

NPPES lists Idaho license number PT-5619, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.