NPI age
14 years
Enumerated 2011-10-31
● Active Type 2 · Organization
Functional Physical Therapy Center
Functional Physical Therapy Center is 1 of 120 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Issuree
Physical Therapist/director
Last NPPES update
2012-04-16
Source: monthly bulk 2026-05
How this organization compares
Across 120 active clinic/center providers in Idaho.
NPI age
14 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-10Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
8950 W Emerald St, Suite 195
Boise, ID 837044854
Mailing address
8950 W Emerald St, Suite 195
Boise, ID 837044854
Authorized official
Rajcoomar Issuree, P.T.
Physical Therapist/director
📞 2083767313
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Sarah Gordon, LMSW Social Worker NPI 1619515095
- Kersondra Hood, LCSW Social Worker NPI 1598278673
- Rajcoomar Issuree, RPT Physical Therapist NPI 1841216009
- Amy Jeppesen, L.C.S.W. Social Worker NPI 1467605642
- Sarah Lyter, LPC5904 Counselor NPI 1629440383
- Helen Napier, PHD Psychologist NPI 1801867817
- Floyd Smith, MD Surgery NPI 1871521294
- Myung Song, D.O. , M.B.A. General Practice NPI 1922130541
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 120 Clinic/Center providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.