P Praxis·MD
● Active Type 1 · Individual

MR. Kevin Douglas Racine, PT, DPT

Physical Therapist·Meridian, ID· NPI 1962035469 · Enumerated 2020 · 6 years on NPI
Racine is 1 of 195 physical therapist providers in Meridian and 1 of 2006 in Idaho.
NPI age
6 years
Enumerated 2020-02-13
Primary specialty
Physical Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-02-13
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
6 years
↓ 5 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-02Enumerated in NPPES
2020 2026

Where they practice

Practice location
1618 S Millenium Way Ste 210
Meridian, ID 836426457
📞 2088844647fax 2088848984
Mailing address
645 E State St Ste 101
Eagle, ID 836165915
📞 2089399594fax 2089399828

Additional practice locations

1 secondary location on file with NPPES.

Location 2
645 E State St Ste 101
Eagle, ID 836165915
📞 2089399594fax 2089399828

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-6627 taxonomy 225100000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physical therapist provider has been added in Meridian 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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