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NPI 1497969604
● Active Type 2 · Organization
Subpart
Idaho Physical Medicine & Rehabilitation
Physician Assistant · Boise, ID · NPI 1497969604
·
Enumerated 2007 · 19 years on NPI
Idaho Physical Medicine & Rehabilitation is 1 of 1263 physician assistant organizations in Idaho.
NPI age
19 years
Enumerated 2007-05-09
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lee
Administrator
Last NPPES update
2010-03-16
Source: monthly bulk 2026-05
How this organization compares
Across 1263 active physician assistant providers in Idaho.
NPI age
19 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2007 → 2026
2007-05 Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
600 Robbins Rd
Boise, ID 837024539
📞 2084894016 fax 2084894015
Mailing address
600 N. Robbins Rd
Boise, ID 83702
📞 2084894016 fax 2084894015
Authorized official
Sharon A Lee
Administrator
📞 2084895160
Individual providers at this organization
20 individual providers on file at this primary practice address.
Lorie Allison , ATC, ATL
Specialist/Technologist
NPI 1790802643
Crystal Arave , SLP
Speech-Language Pathologist
NPI 1750527701
Jeanne Bailey , M.D.
Anesthesiology
NPI 1679520019
Marshall Gardner , PA-C
Physician Assistant
NPI 1316943343
Virginia Gibson , CST
Specialist/Technologist, Other
NPI 1053598458
Nancy Greenwald , MD
Physical Medicine & Rehabilitation
NPI 1831175819
Kathryn Harding , M.S., CCC-SLP
Speech-Language Pathologist
NPI 1457552358
Sheri Harrison , MPT, CWS
Physical Therapist
NPI 1861545832
Janis Harrold , OTR, ATP
Occupational Therapist
NPI 1487850798
Renee Hawkins , MSPT
Physical Therapist
NPI 1902029465
Lesa Heirigs
Occupational Therapist
NPI 1538377338
Maren Hollister , M.S. CCC-SLP
Speech-Language Pathologist
NPI 1801006820
Melissa Honsinger
Speech-Language Pathologist
NPI 1871702944
Megan Kohnke , ASLP
Specialist/Technologist
NPI 1952511974
Frances Lovely , LPN
Licensed Practical Nurse
NPI 1336399021
Michael McClay , PH.D.
Psychologist
NPI 1356364111
Kirk Miller , MD
Anesthesiology
NPI 1124075056
Monte Moore , MD
Physical Medicine & Rehabilitation
NPI 1023094901
Rebecca Ohlin , M.A., CCC-SLP
Speech-Language Pathologist
NPI 1760692784
Raymond Otto , M.D.
Emergency Medicine
NPI 1063455301
Specialties
Physician Assistant
Primary
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
taxonomy 363A00000X
Identifiers
Type Value Notes
05 (ID)
80746780
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
Subpart of Idaho Physical Medicine & Rehabilitation .
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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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.