NPI age
12 years
Enumerated 2013-06-12
● Active Type 2 · Organization
St. Luke'S Elks Rehab
St. Luke'S Elks Rehab is 1 of 9 rehabilitation unit organizations in Idaho.
Primary specialty
Rehabilitation Unit
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fry
Site Manager
Last NPPES update
2013-06-12
Source: monthly bulk 2026-05
How this organization compares
Across 9 active rehabilitation unit providers in Idaho.
NPI age
12 years
≈ at median (12 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-06Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
405 W Myrtle St
Boise, ID 837027658
Mailing address
405 W Myrtle St
Boise, ID 837027658
Authorized official
Abby Fry
Site Manager
📞 2084895880
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Kristin Booton, MS CCC-SLP Speech-Language Pathologist NPI 1063888188
- Lizabeth Gardner, PT Physical Therapist NPI 1518305663
- Shanna Herman, PHYSICAL THERAPIST Physical Therapist NPI 1902279136
- Beth Jacob, OTR/L Occupational Therapist NPI 1114257524
- Kelly O'Leary Speech-Language Pathologist NPI 1922435080
Specialties
-
Rehabilitation Unit PrimaryIn general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum...
Practice context
Multi-provider organization. 5 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.