P Praxis·MD
● 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
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
600 Robbins Rd
Boise, ID 837024539
📞 2084894016fax 2084894015
Mailing address
600 N. Robbins Rd
Boise, ID 83702
📞 2084894016fax 2084894015

Authorized official

Sharon A Lee
Administrator
📞 2084895160

Individual providers at this organization

20 individual providers on file at this primary practice address.

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

TypeValueNotes
05 (ID) 80746780

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • PA Grp
    Type code 5 recorded 2007-05-09

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

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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