P Praxis·MD
● Active Type 1 · Individual

Reagan E Fernley, PTA

Physical Medicine & Rehabilitation·Homedale, ID· NPI 1881459543 · Enumerated 2024 · 2 years on NPI
Fernley is 1 of 1 physical medicine & rehabilitation providers in Homedale and 1 of 14 in Idaho.
NPI age
2 years
Enumerated 2024-02-20
Primary specialty
Physical Medicine & Rehabilitation
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-02-20
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
2 years
↓ 5 yr below median (7 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-02Enumerated in NPPES
2024 2026

Where they practice

Practice location
134 E Idaho Ave
Homedale, ID 836285003
📞 2083373254
Mailing address
1217 S Benewah St
Nampa, ID 836862868
📞 6517880664

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 #8554 taxonomy 2081S0010X

Practice context

Part of a multi-provider practice. 6 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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