NPI age
19 years
Enumerated 2007-04-20
● Active Type 2 · Organization
Proactive Physical Therapy Pc
Proactive Physical Therapy Pc is 1 of 2006 physical therapist organizations in Idaho.
Primary specialty
Physical Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Young
President
Last NPPES update
2010-10-13
Source: monthly bulk 2026-05
How this organization compares
Across 2006 active physical therapist 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
2311 Park Ave, Suite 2
Burley, ID 833182170
Mailing address
2311 Park Ave, Suite 2
Burley, ID 833182170
Authorized official
Raulan Young, MPT
President
📞 2086772489
Individual providers at this organization
10 individual providers on file at this primary practice address.
- Stephen Beck, DPT Physical Therapist NPI 1932688975
- Esther Cranney, MS, LPC Counselor NPI 1275958613
- Mark Dunlap, N.D., C.A.C., L.M.T Naturopath NPI 1710355235
- Susan Koepnick, LPC Counselor NPI 1407035959
- Janet Loveland, LCPC Counselor NPI 1104949700
- Mary McGinnis, LMSW Social Worker NPI 1184969578
- Mark Nelson, LMSW Social Worker NPI 1861765992
- Jennifer Primrose, LPC Counselor NPI 1598017428
- Norman Sinclair, M.S. Counselor NPI 1245540053
- Carol Winn Gonzales Counselor NPI 1518369735
Specialties
-
Physical Therapist PrimaryPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805407300 |
Practice context
Multi-provider organization. 10 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 →
- 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.