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IDAHO SPORTS MEDICINE INSTITUTE NPI 1700180445


NPI Information

NPI: 1700180445
Provider Name: IDAHO SPORTS MEDICINE INSTITUTE
Classification: Clinic/Center - 261QP2000X
Entity Type: Organization

Specialization: Physical Therapy

CLIA Number: 13D2106073

Address:
1188 W UNIVERSITY DR
BOISE, ID
ZIP 83706
Phone: (208) 336-8250
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IDAHO SPORTS MEDICINE INSTITUTE is a physical therapy clinic center in Boise, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. IDAHO SPORTS MEDICINE INSTITUTE NPI is 1700180445. The provider is registered as an organization entity type.

The provider's business location address is:

1188 W UNIVERSITY DR
BOISE, ID
ZIP 83706-009
Phone: (208) 336-8250
Fax: (208) 345-9514

The provider's authorized official is Roy Tweedle .
The authorized official title is Business Manager and has the following contact phone number (208) 336-8250.

The CLIA number assigned to this NPI record is 13D2106073 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/10/2011 and was last updated on 1/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2000XClinic/CenterPhysical TherapyPT-1825IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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