NPI age
19 years
Enumerated 2006-07-12
● Active Type 2 · Organization
Idaho Sports Medicine Institute PA
Idaho Sports Medicine Institute PA is 1 of 6 neuromusculoskeletal medicine, sports medicine organizations in Idaho.
Primary specialty
Neuromusculoskeletal Medicine, Sports Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Millier
Owner/partner
Last NPPES update
2026-01-06
Source: monthly bulk 2026-05
How this organization compares
Across 6 active neuromusculoskeletal medicine, sports medicine providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1188 University Dr
Boise, ID 837063009
Mailing address
1188 W University Dr
Boise, ID 837063009
Authorized official
Jennifer R. Millier, M.D.
Owner/partner
📞 2083368250
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Linda Hammann, MS, PT, SCS, ATC Physical Therapist NPI 1386640928
- Kristin Hulquist, MPT Physical Therapist NPI 1609872241
- Kirk Lewis, MD Orthopaedic Surgery NPI 1033115803
- Korene Mayo, ATC, LAT Specialist/Technologist NPI 1538359815
- Jennifer Miller, MD Orthopaedic Surgery NPI 1245236983
- Bradford Page, MS, PT Physical Therapist NPI 1639175276
- Scot Scheffel, MD Family Medicine NPI 1043216823
Specialties
-
Neuromusculoskeletal Medicine, Sports Medicine PrimaryA Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805993900 | |
| 01 (ID) | REGENCE BLUE SHIELD | GROUP # 29145 |
| 01 (ID) | 8628-0 | BLUE CROSS OF IDAHO GROUP |
Practice context
Multi-provider organization. 7 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.