NPI age
11 years
Enumerated 2015-05-01
● Active
Type 1 · Individual
Autumn Grove
Grove is 1 of 31 physical therapist providers in Hayden and 1 of 2006 in Idaho.
Primary specialty
Physical Therapist
Plus 1 subspecialty
Licensed in
ID, CO
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-08-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2006 active physical therapist providers in Idaho.
NPI age
11 years
≈ at median (11 yr)
State licenses
2 states
Top 91% — 9% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-05Enumerated in NPPES
2015
2026
Where they practice
Practice location
8238 N Government Way
Hayden, ID 838355034
Mailing address
8238 N Government Way
Hayden, ID 838355034
Additional practice locations
1 secondary location on file with NPPES.
Location 2
11185 W. 6th Avenue
Lakewood, CO 80215
Specialties
-
Physical Therapist PrimaryPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
-
Physical TherapistA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | PT-5390 | IDAHO STATE PHYSICAL THERAPY LICENSE |
| 01 (CO) | PTL. 0013479 | COLORADO STATE PHYSICAL THERAPY LICENSE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.