NPI age
12 years
Enumerated 2013-09-30
● Active Type 2 · Organization
St. Luke'S Elks Childrens Rehab
St. Luke'S Elks Childrens Rehab is 1 of 5 rehabilitation hospital organizations in Idaho.
Primary specialty
Rehabilitation Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilson
Compliance And Risk Management
Last NPPES update
2013-09-30
Source: monthly bulk 2026-05
How this organization compares
Across 5 active rehabilitation hospital providers in Idaho.
NPI age
12 years
≈ at median (11 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-09Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
405 W Myrtle St
Boise, ID 837027658
Mailing address
405 W Myrtle St
Boise, ID 837027658
Authorized official
Brent Wilson
Compliance And Risk Management
📞 2084894761
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Kristin Booton, MS CCC-SLP Speech-Language Pathologist NPI 1063888188
- Lizabeth Gardner, PT Physical Therapist NPI 1518305663
- Shanna Herman, PHYSICAL THERAPIST Physical Therapist NPI 1902279136
- Beth Jacob, OTR/L Occupational Therapist NPI 1114257524
- Kelly O'Leary Speech-Language Pathologist NPI 1922435080
Specialties
-
Rehabilitation Hospital PrimaryDefinition to come...
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 5 Rehabilitation Hospital providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →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.