NPI age
1 years
Enumerated 2024-06-04
● Active Type 2 · Organization
Wild Rose Physio Pllc
Wild Rose 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
Jentges
Owner
Last NPPES update
2024-06-04
Source: monthly bulk 2026-05
How this organization compares
Across 120 active clinic/center providers in Idaho.
NPI age
1 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-06Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
325 W Palouse River Dr
Moscow, ID 838438956
Mailing address
Po Box 51
Troy, ID 838710051
Authorized official
Lauren Jentges, PT, DPT
Owner
📞 2069487475
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Kelly Haase, ND Naturopath NPI 1407574890
- Allison Zimms Massage Therapist NPI 1043854508
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...
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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.