NPI age
19 years
Enumerated 2006-07-25
● Active Type 2 · Organization
Clifford L Kiracofe Pt PA
Clifford L Kiracofe Pt PA is 1 of 2006 physical therapist organizations in Idaho.
Primary specialty
Physical Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kiracofe
Owner
Last NPPES update
2008-06-12
Source: monthly bulk 2026-05
How this organization compares
Across 2006 active physical therapist providers in Idaho.
NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
8836 N Hess St, Ste C
Hayden, ID 838358718
Mailing address
Po Box 293
Hayden, ID 838350293
Authorized official
Clifford Kiracofe
Owner
📞 2087726991
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Drew Johnson, PA-C Physician Assistant NPI 1851705347
- Clifford Kiracofe, RPT Physical Therapist NPI 1427073212
- Debra Jill Satren, O.T.R.L, , C.H.T. Occupational Therapist NPI 1770642456
- Tod Sijan, PA-C Physician Assistant NPI 1083646301
Specialties
-
Physical Therapist PrimaryPhysical 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807136100 |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.