P Praxis·MD
● Active Type 1 · Individual

Travis John Poulson, LAT, ATC, CSCS

Physical Medicine & Rehabilitation·Boise, ID· NPI 1609453380 · Enumerated 2021 · 5 years on NPI
Poulson is 1 of 2 physical medicine & rehabilitation providers in Boise and 1 of 14 in Idaho.
NPI age
5 years
Enumerated 2021-03-27
Primary specialty
Physical Medicine & Rehabilitation
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 14 active physical medicine & rehabilitation providers in Idaho.

NPI age
5 years
↓ 2 yr below median (7 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-03Enumerated in NPPES
2021 2026

Where they practice

Practice location
1910 University Dr
Boise, ID 837250002
📞 2629494026
Mailing address
N300 Tower Rd
Eagle, WI 531191914
📞 2629494026

Specialties

  • Physical Medicine & Rehabilitation Primary
    A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the...
    ID license #AT-713 taxonomy 2081S0010X

Practice context

Part of a multi-provider practice. 45 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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