NPI age
18 years
Enumerated 2007-07-17
● Active Type 2 · Organization
Subpart
St Lukes Magic Valley Regional Medical Center Ltd
St Lukes Magic Valley Regional Medical Center Ltd 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
Fowler
Senior Vp, Cfo
Last NPPES update
2026-04-23
Source: monthly bulk 2026-05
How this organization compares
Across 9 active rehabilitation unit providers in Idaho.
NPI age
18 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
775 Pole Line Rd W Ste 307
Twin Falls, ID 833015823
Mailing address
Po Box 2777
Boise, ID 837012777
Authorized official
Kathryn Fowler
Senior Vp, Cfo
📞 2083818717
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Brandon Fowler Occupational Therapist NPI 1508440421
- Tessa Spencer, PT, DPT Physical Therapist NPI 1235580622
- Jason Urry, OTR/L Occupational Therapist NPI 1073766606
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...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
St Lukes Inpatient Rehabilitation Unit
-
St Lukes Inpatient Rehabilitation Unit
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of St Lukes Health System Ltd.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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