Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Myung Ae Song, D.O. , M.B.A.

General Practice Physician in Boise, ID · enumerated 2007 · practices at Functional Physical Therapy Center.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1922130541

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Registry record

Entity type Individual (Type 1)

Name Myung Ae Song

Credential D.O. , M.B.A.

Sex Female

Practice address Boise, ID, 83704

Phone (208) 901-5144

Enumeration date Mar 9, 2007

Last updated in NPPES Mar 7, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License O-322 (ID) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
CS-10302	Other	ID	IDAHO CONTROLLED SUBSTANC
H06991	Other	ID	UPIN #
O-322	Other	ID	IDAHO MEDICAL LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1922130541 active?

Yes, as of the latest NPPES snapshot, NPI 1922130541 is active (record last updated 2023-03-07).

How do I verify Myung Song's NPI record?

Cross-check NPI 1922130541 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

Browse all →

Helen Napier Adult Development & Aging Psychologist · Boise, ID NPI 1801867817 Floyd Smith Surgery Physician · Boise, ID NPI 1871521294 Rajcoomar Issuree Physical Therapist · Boise, ID NPI 1841216009 Amy Jeppesen Clinical Social Worker · Boise, ID NPI 1467605642 Functional Physical Therapy Center Physical Therapy Clinic/Center · Boise, ID NPI 1902182298 Sarah Lyter Professional Counselor · Boise, ID NPI 1629440383 Kersondra Hood Clinical Social Worker · Boise, ID NPI 1598278673 Sarah Gordon Social Worker · Boise, ID NPI 1619515095

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.