GRIDIRON REHAB AND ATHLETIC FITNESS, LLC
NPI 1033359450
Clinic/Center - Physical Therapy in Meridian, ID

Active since February 25, 2009
3035 W MCMILLAN RD, SUITE 104, MERIDIAN, ID 83646(208) 887-8684(208) 887-9226 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gridiron Rehab And Athletic Fitness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRIDIRON REHAB AND ATHLETIC FITNESS, LLC (NPI 1033359450) is a healthcare organization registered as a physical therapy in Meridian, Idaho and active in the NPI registry since February 2009. The organization lists Eric Tamura, Administrator / Managing Employee, as its authorized official.

NPPES Registry Identity

NPI1033359450
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameGRIDIRON REHAB AND ATHLETIC FITNESS, LLC
Location Address3035 W MCMILLAN RD, SUITE 104Meridian, ID 83646
Mailing Address3035 W Mcmillan Rd, Suite 104Meridian, ID 83646-6163 · (208) 887-8684 · Fax (208) 887-9226
Fax(208) 887-9226
Organization SubpartNo
Authorized OfficialEric TamuraAdministrator / Managing Employee · (208) 887-8684
Enumeration DateFebruary 25, 2009
Last NPPES UpdateMay 17, 2018
✔ NPI 1033359450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An 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 widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
3035 W MCMILLAN RD, Meridian, ID 83646

Other Identifiers 2

Medicaid808389100ID
OtherT9390ID · Blue Cross

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gridiron Rehab And Athletic Fitness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Gridiron Rehab And Athletic Fitness, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Physical Therapist in Private Practice
NPI 1306121710
3035 W MCMILLAN RD SUITE 104
Meridian, ID 83646
(208) 887-8684
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1962241281
3035 W MCMILLAN RD STE 104
Meridian, ID 83646
(208) 887-8684
✔ Accepts Medicare3.8 mi
Physical Therapist in Private Practice
NPI 1245968957
3035 W MCMILLAN RD STE 104
Meridian, ID 83646
(208) 887-8684
✔ Accepts Medicare3.8 mi
Physical Therapist in Private Practice
NPI 1376472621
5520 N EAGLE RD STE 102
Boise, ID 83713
(208) 938-5255
✔ Accepts Medicare4.0 mi
Physical Therapist in Private Practice
NPI 1942754981
111 W MAIN ST
Boise, ID 83702
(208) 342-7200
✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gridiron Rehab And Athletic Fitness, LLC's NPI number?

The NPI number for Gridiron Rehab And Athletic Fitness, LLC is 1033359450. It was assigned to this organization in the NPPES registry on February 25, 2009.

Where is Gridiron Rehab And Athletic Fitness, LLC located?

Gridiron Rehab And Athletic Fitness, LLC is located at 3035 W Mcmillan Rd Suite 104, Meridian, ID 83646. The listed phone number is (208) 887-8684.

What is Gridiron Rehab And Athletic Fitness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Gridiron Rehab And Athletic Fitness, LLC enrolled in Medicare?

Yes. Gridiron Rehab And Athletic Fitness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gridiron Rehab And Athletic Fitness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Gridiron Rehab And Athletic Fitness, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gridiron Rehab And Athletic Fitness, LLC was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.