NPI age
18 years
Enumerated 2007-08-29
● Active Type 2 · Organization
Subpart
Idaho Physical Medicine And Rehabilitation PA
Idaho Physical Medicine And Rehabilitation PA is 1 of 99 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shelton
Administrator
Last NPPES update
2014-06-05
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 11% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-08Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
3551 E Overland Road
Meridian, ID 83642
Mailing address
Po Box 1128
Boise, ID 837011128
Authorized official
Kate A Shelton
Administrator
📞 2082876558
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Physical Medicine & RehabilitationA physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 808002500 | |
| 01 (ID) | P00612157 | RAILROAD MEDICARE |
Practice context
Single-site organization. Only one practice location on file.
Subpart of Idaho Physicial Medicine And Rehabilitation.
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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.