BRIAN M HOLGATE (MPT) – Physical Therapist, NPI 1629312269

BRIAN M HOLGATE (MPT) is a healthcare provider. based in Boise, Idaho. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. PT-1463 (ID). The NPI Number for BRIAN M HOLGATE (MPT) is 1629312269

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN M HOLGATE (MPT)
NPI
1629312269
Phone
(208) 939-0533
Address
12072 W MCMILLAN RD
Enumeration Date
20 November 2012
Last Update Date
13 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082860766
Graduation Year
1999 (27 years ago)
PAC ID
5496908899
Group Practice PAC ID
0345229068
Professional Enrollment ID
I20130115000455
Address ID
ID836695858ST9652XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

834 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ID

Provider Addresses for BRIAN M HOLGATE (MPT)

  • 12072 W MCMILLAN RD

    BOISE, ID 837132462

    Phone: (208) 939-0533

    Fax: (208) 939-3341

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130115000455IPhysical Therapist In Private PracticeIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes55227$0
97140Therapy procedure using manual technique, each 15 minutes23824$0
97161Evaluation for physical therapy, typically 20 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 83713)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345229068View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeID
-ID
-ID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

How do payers reference BRIAN M HOLGATE (MPT)?
For BRIAN M HOLGATE (MPT), use NPI 1629312269 as the unique 10-digit identifier.
Active or inactive — what applies to BRIAN M HOLGATE (MPT)?
You should see BRIAN M HOLGATE (MPT) as active in CMS-hosted NPPES data.
What kind of doctor is BRIAN M HOLGATE (MPT)?
BRIAN M HOLGATE (MPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with BRIAN M HOLGATE (MPT)?
Directory geography for BRIAN M HOLGATE (MPT) centers on Boise, Idaho.
Can I trust this NPI listing for BRIAN M HOLGATE (MPT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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