NPI age
7 years
Enumerated 2018-09-21
● Active Type 2 · Organization
Performance Physio Pllc
Performance Physio Pllc is 1 of 120 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Palmer
Owner
Last NPPES update
2021-01-28
Source: monthly bulk 2026-05
How this organization compares
Across 120 active clinic/center providers in Idaho.
NPI age
7 years
≈ at median (8 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-09Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
621 Main St Ste A
Lewiston, ID 835011871
Mailing address
621 Main St Ste A
Lewiston, ID 835011871
Authorized official
Kyle Joseph Palmer, PT
Owner
📞 5097801090
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Tara Kazemfar, PT Physical Therapist NPI 1356996391
- Kyle Palmer, PT Physical Therapist NPI 1699203455
Specialties
-
Clinic/Center PrimaryAn 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...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Performance Health and Wellness
-
Performance Physio
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.