NPI age
19 years
Enumerated 2006-07-27
● Active
Type 1 · Individual
DR. Clinton Mallari, MD
Mallari is 1 of 6 physical medicine & rehabilitation providers in Boise and 1 of 18 in Idaho.
Primary specialty
Physical Medicine & Rehabilitation
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 18 active physical medicine & rehabilitation providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
115 W Main St, Suite 102
Boise, ID 837027302
Mailing address
115 W Main St, Suite 102
Boise, ID 837027302
Specialties
-
Physical Medicine & Rehabilitation PrimaryA physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be...
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- 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.