P Praxis·MD
● Active Type 1 · Individual

MRS. Crista Ann Jardine, PTA

Contractor·Ammon, ID· NPI 1215270053 · Enumerated 2013 · 13 years on NPI
Jardine is 1 of 1 contractor providers in Ammon and 1 of 20 in Idaho.
NPI age
13 years
Enumerated 2013-03-29
Primary specialty
Contractor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-03-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 20 active contractor providers in Idaho.

NPI age
13 years
≈ at median (13 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-03Enumerated in NPPES
2013 2026

Where they practice

Practice location
2499 Fieldstone Dr
Ammon, ID 834015854
📞 2086816677fax 2082098574
Mailing address
2499 Fieldstone Dr
Ammon, ID 834015854
📞 2086816677fax 2082098574

Specialties

  • Contractor Primary
    For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects...
    ID license #PTA-110 taxonomy 171W00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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