NPI age
19 years
Enumerated 2006-11-28
● Active Type 2 · Organization
Rexburg Family Medical Center, Pllc
Rexburg Family Medical Center, Pllc is 1 of 104 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Packer
Owner
Last NPPES update
2010-09-20
Source: monthly bulk 2026-05
How this organization compares
Across 104 active clinic/center providers in Idaho.
NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1 Professional Plz
Rexburg, ID 834402024
Mailing address
1 Professional Plz
Rexburg, ID 834402024
Authorized official
Michael M Packer, M.D.
Owner
📞 2083569231
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Jakob Carstens, DPT Physical Therapist NPI 1053087163
- Clark Dabell, DPT Physical Therapist NPI 1093118184
- Justin Hammer, DPT Physical Therapist NPI 1518360692
- Anthony Humphries, DPT Physical Therapist NPI 1255905931
- Cade Kelley, DPT Physical Therapist NPI 1528808102
- Neil Marion Occupational Therapist NPI 1902296189
- Kristi Neibaur, D.P.T. Physical Therapist NPI 1427408210
- Alicia Siddoway, RPT Physical Therapist NPI 1679748248
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Family Medical Center
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 104 Clinic/Center providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.