Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Idaho Pediatric Therapy Clinic PLLC

Organization Physical Therapist · NPI 1194125617

Idaho Pediatric Therapy Clinic PLLC provides Physical Therapist services in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3080 E Gentry Way Ste 180
Meridian, ID 83642-3544
Phone: (208) 939-3334
Fax: (208) 939-1122
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-1450 (ID)
Occupational Therapist Taxonomy 225X00000X · Licence OT-928 (ID)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SLP-2249 (ID)

Record details

NPI number1194125617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Longoria — Office Manager · (208) 939-3334
NPI enumeratedSeptember 3, 2014
Last updated in NPPESJuly 9, 2019
Mailing address3080 E Gentry Way Ste 180, Meridian, ID 83642-3544

Other providers in Meridian