NPI age
11 years
Enumerated 2014-06-09
● Active Type 2 · Organization
Advanced Physical Therapy & Wound Center, Pllc
Advanced Physical Therapy & Wound Center, Pllc is 1 of 2006 physical therapist organizations in Idaho.
Primary specialty
Physical Therapist
Plus 5 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Siddoway
Director Of Therapy
Last NPPES update
2015-06-11
Source: monthly bulk 2026-05
How this organization compares
Across 2006 active physical therapist providers in Idaho.
NPI age
11 years
≈ at median (11 yr)
Practice locations
1
0 secondary on file
Subspecialties
5
In the 16% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-06Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
1 Professional Plz
Rexburg, ID 834402024
Mailing address
Po Box 322
Rexburg, ID 834400322
Authorized official
Alicia Siddoway, P.T.
Director Of Therapy
📞 2083592500
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
-
Physical Therapist PrimaryPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
-
Audiologist(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders...
-
Occupational TherapistAn occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
-
Occupational Therapy AssistantAn occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has...
-
Physical Therapy Assistant(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
-
Speech-Language PathologistThe speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through...
Practice context
Multi-provider organization. 8 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.