NPI age
9 years
Enumerated 2017-02-26
● Active Type 2 · Organization
Full Potential Physical Therapy, Pllc
Full Potential Physical Therapy, Pllc is 1 of 120 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Medavarapu
Physical Therapist
Last NPPES update
2023-11-29
Source: monthly bulk 2026-05
How this organization compares
Across 120 active clinic/center providers in Idaho.
NPI age
9 years
≈ at median (8 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-02Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
450 Thain Rd Ste A
Lewiston, ID 835015300
Mailing address
450 Thain Rd Ste A
Lewiston, ID 835015300
Authorized official
Saker Ravee Medavarapu, MPT
Physical Therapist
📞 2088168836
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Seker Medavarapu, PT Physical Therapist NPI 1447312640
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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