NPI age
20 years
Enumerated 2006-05-19
● Active Type 2 · Organization
Subpart
Peak Medical Of Idaho, Inc.
Peak Medical Of Idaho, Inc. is 1 of 173 skilled nursing facility organizations in Idaho.
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mathies
President Director
Last NPPES update
2009-09-28
Source: monthly bulk 2026-05
How this organization compares
Across 173 active skilled nursing facility providers in Idaho.
NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3111 Channing Way
Idaho Falls, ID 834047534
Mailing address
101 Sun Ave Ne, Compliance Department
Albuquerque, NM 871094373
Authorized official
William A. Mathies
President Director
📞 5058213355
Individual providers at this organization
12 individual providers on file at this primary practice address.
- Megan Barela, COTA Occupational Therapy Assistant NPI 1568932838
- Tealynn Cooper Occupational Therapist NPI 1740700137
- Shelley Corrigan, PT Physical Therapist NPI 1184265035
- Erin Degroot, COTA/L Occupational Therapy Assistant NPI 1437679362
- Tailer Fowler Physical Therapy Assistant NPI 1417578519
- Eli Hanks, COTA/L Occupational Therapy Assistant NPI 1457872202
- Dawna Henderson Occupational Therapy Assistant NPI 1043795768
- Shelby Mason, PTA Physical Therapy Assistant NPI 1538676234
- Aaron May, OTR Occupational Therapist NPI 1104380146
- Jamie Seeley, PTA Physical Therapy Assistant NPI 1144784349
- Kassandra Stine, PTA Physical Therapy Assistant NPI 1427572791
- Kara Von Burg Speech-Language Pathologist NPI 1467948448
Specialties
-
Skilled Nursing Facility Primary(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805152300 | |
| 01 (ID) | 2105 | BLUE CROSS |
| 01 (ID) | 000010013199 | BLUE SHIELD OF IDAHO |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Idaho Falls Care and Rehabilitation Center
Practice context
Multi-provider organization. 12 individual providers on file at this primary address.
Subpart of Sunbridge Healthcare Corporation.
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