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

Idaho Physical Medicine & Rehabilitation

Organization Physician Assistant · NPI 1497969604

Idaho Physical Medicine & Rehabilitation provides Physician Assistant services in Boise, Idaho. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

600 Robbins Rd
Boise, ID 83702-4539 Not confirmed with CMS for 16 years — call before visiting
Phone: (208) 489-4016
Fax: (208) 489-4015
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1497969604
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIdaho Physical Medicine & Rehabilitation
Authorized official Sharon Lee — Administrator · (208) 489-5160
Other names Pa Grp
NPI enumeratedMay 9, 2007
Last updated in NPPESMarch 16, 2010
Mailing address600 N. Robbins Rd, Boise, ID 83702

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