NPI age
19 years
Enumerated 2007-04-26
● Active Type 2 · Organization
Idaho Falls Physical Medicine & Rehabilitation
Idaho Falls Physical Medicine & Rehabilitation is 1 of 98 physical medicine & rehabilitation organizations in Idaho.
Primary specialty
Physical Medicine & Rehabilitation
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Simon
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 98 active physical medicine & rehabilitation providers in Idaho.
NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2860 Channing Way, Suite 213
Idaho Falls, ID 834047531
Mailing address
2860 Channing Way, Suite 213
Idaho Falls, ID 834047531
Authorized official
David C Simon, MD
President
📞 2085354420
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Charles Boge, MD Orthopaedic Surgery NPI 1831299148
- Emily Cowles, R.D.,L.D. Dietitian, Registered NPI 1205125259
- Boyd Hammond, MEDICAL DOCTOR Surgery NPI 1871689844
- Shannon Jenkins, DO Pediatrics NPI 1023083680
- Michael Moore, M.D., P.C. Surgery NPI 1306064860
- Brian O'Byrne, MD Surgery NPI 1801896717
- Brandi Smith, APRN-CNP Nurse Practitioner NPI 1114447406
- Sarah Vlach, MD Physical Medicine & Rehabilitation NPI 1326002221
- William Wilson, M.D. Plastic Surgery NPI 1447368758
Specialties
-
Physical Medicine & Rehabilitation PrimaryPhysical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from...
Practice context
Multi-provider organization. 9 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.