NPI age
19 years
Enumerated 2006-12-13
● Active Type 2 · Organization
Allstar Physical Therapy, P.A.
Allstar Physical Therapy, P.A. 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
Johnson
Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 120 active clinic/center providers in Idaho.
NPI age
19 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
4809 W Fairview Ave
Boise, ID 837062242
Mailing address
1552 Sanctuary Lane
Homedale, ID 83628
Authorized official
Lynn R Johnson
Owner
📞 2085716739
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Richard McChrystal, P.A. Physician Assistant NPI 1659464923
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010025680 | REGENCE BLUE SHIELD |
| 01 (ID) | T4884 | BLUE CROSS |
Practice context
Multi-provider organization. 1 individual provider 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.