IDAHO PHYSICAL MEDICINE AND REHABILITATION PA (NPI# 1497711329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497711329 |
| Entity Type | Organization |
| Organization Name | IDAHO PHYSICAL MEDICINE AND REHABILITATION PA |
| Practice Address |
600 Robbins Rd Suite #300 Boise ID 83702-4539 |
| Mailing Address |
Po Box 1128 Boise ID 83701-1128 |
| Practice Telephone | 2084894016 |
| Practice Fax Number | 2084894015 |
| Mailing Telephone | 2084894016 |
| Mailing Fax Number | 2084894015 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2010-02-11 |
| Authorized Official Name | SHARON A LEE (ADMINISTRATOR) |
| Authorized Official Telephone | 2082876558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
ID | Allopathic & Osteopathic Physicians | |
| Y | 208100000X | Physical Medicine & Rehabilitation | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497949705 | Idaho Physical Medicine and Rehabilitation Pa | Physical Medicine & Rehabilitation | 3551 E Overland Road, Meridian, ID 83642 | 2007-08-29 |
| Street Address |
600 ROBBINS RD SUITE #300 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-4539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943343 | Marshall Gardner | Physician Assistant | 600 Robbins Rd, Ste 300, Boise, ID 83702-4565 | 2005-06-23 |
| 1750527701 | Crystal N Arave | Speech-Language Pathologist | 600 Robbins Rd, Ste 101, Boise, ID 83702-4539 | 2008-12-22 |
| 1336399021 | Frances Marie Lovely | Licensed Practical Nurse | 600 Robbins Rd, Boise, ID 83702-4539 | 2008-09-30 |
| 1053598458 | Virginia Gibson | Specialist/Technologist, Other | 600 Robbins Rd, Suite 400, Boise, ID 83702-4539 | 2008-01-28 |
| 1073797395 | Victoria Ann Merrell | Physician Assistant | 600 Robbins Rd, Suite 100, Boise, ID 83702-4539 | 2007-12-21 |
| 1487850798 | Janis Rae Harrold | Occupational Therapist | 600 Robbins Rd, Boise, ID 83702-4539 | 2007-06-23 |
| 1457552358 | Kathryn Mcfarland Harding | Speech-Language Pathologist | 600 Robbins Rd, Boise, ID 83702-4539 | 2007-05-29 |
| 1922218502 | Wendy Lee Rudy | Speech-Language Pathologist | 600 Robbins Rd, Boise, ID 83702-4539 | 2007-05-23 |
| 1871702944 | Melissa J Honsinger | Speech-Language Pathologist | 600 Robbins Rd, Boise, ID 83702-4539 | 2007-05-22 |
| 1801006820 | Maren Elizabeth Hollister | Speech-Language Pathologist | 600 Robbins Rd, Boise, ID 83702-4539 | 2007-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316590813 | Fit & Function Therapy Solutions, LLC | Physical Medicine & Rehabilitation | 2273 S Vista Ave Ste 120, Boise, ID 83705-7350 | 2019-07-23 |
| 1619238276 | Kurt Mildenstein | Physical Medicine & Rehabilitation | 600 N Robbins Rd Ste 300, Boise, ID 83702 | 2012-05-30 |
| 1760491070 | Boise Physical Medicine and Rehabilitation Clinc | Physical Medicine & Rehabilitation | 1000 N Curtis Rd Ste 202, Boise, ID 83706-1346 | 2006-08-05 |
| 1174574271 | Michael S Weiss | Physical Medicine & Rehabilitation | 703 Americana Blvd, Boise, ID 83702-6754 | 2006-05-13 |
| 1861478752 | Michael Sant | Physical Medicine & Rehabilitation | 711 N Curtis Rd, Boise, ID 83706 | 2005-12-21 |
| 1174526974 | Michael R Mcmartin | Physical Medicine & Rehabilitation | 1000 N Curtis Rd, Ste 202, Boise, ID 83706-1346 | 2005-05-24 |
| 1467952549 | Jennifer R Thomsen | Physical Medicine & Rehabilitation | 5909 W State St, Boise, ID 83703-3039 | 2018-02-15 |
| 1629398821 | Northwest Physical Medicine and Rehabilitation Pllc | Physical Medicine & Rehabilitation | 6140 W Curtisian Ave, Suite 400, Boise, ID 83704-8880 | 2010-06-10 |
| 1306057641 | Brandon Micah Brevig | Physical Medicine & Rehabilitation | 302 W Idaho St, Boise, ID 83702-6039 | 2007-05-25 |
| 1205859535 | David A Wald | Physical Medicine & Rehabilitation | 1055 N Curtis Road, Boise, ID 83706 | 2006-07-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.