P Praxis·MD
● Active Type 1 · Individual

MR. Robert W Driscoll, PT

Physical Therapist·Star, ID· NPI 1851507099 · Enumerated 2007 · 19 years on NPI
Driscoll is 1 of 11 physical therapist providers in Star and 1 of 2006 in Idaho.
NPI age
19 years
Enumerated 2007-05-15
Primary specialty
Physical Therapist
Plus 1 subspecialty
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-03-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2006 active physical therapist providers in Idaho.

NPI age
19 years
↑ 8 yr above median (11 yr)
State licenses
2 states
Top 91% — 9% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
64 S Star Rd Unit 2
Star, ID 836695497
📞 2084884250
Mailing address
64 S Star Rd Unit 2
Star, ID 836695497
📞 2084884250

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1040 Elm Ave, Suite #100
Long Beach, CA 908133264
📞 5625914444fax 5624367350

Specialties

  • Physical Therapist Primary
    Physical 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...
    ID license #PT-7058 taxonomy 225100000X
  • Specialist
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    CA license #PT18472 taxonomy 174400000X

Identifiers

TypeValueNotes
01 (CA) PT18472 PHYSICAL THERAPY LICENSE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physical therapist provider has been added in Star in the last 180 days. See all →
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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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