ROAM IND LLC
NPI 1093513566
Chiropractor - Rehabilitation in Eagle, ID

Active since March 03, 2025
36 N ECHOHAWK LN STE 104B, EAGLE, ID 83616(208) 968-6700(208) 563-3938 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roam Ind Llc NPPES

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

ROAM IND LLC (NPI 1093513566), doing business as Premiere Spine & Sport, is a healthcare organization registered as a rehabilitation in Eagle, Idaho and active in the NPI registry since March 2025. The organization lists Justin P Brink, Owner, as its authorized official.

NPPES Registry Identity

NPI1093513566
Entity TypeOrganization
Primary Taxonomy111NR0400X
Legal Business NameROAM IND LLC
Location Address36 N ECHOHAWK LN STE 104BEagle, ID 83616-4013
Mailing Address36 N Echohawk Ln Ste 104bEagle, ID 83616-4013 · (208) 968-6700 · Fax (208) 563-3938
Fax(208) 563-3938
Organization SubpartNo
Authorized OfficialJustin P BrinkOwner · (208) 968-6700
Enumeration DateMarch 3, 2025
Last NPPES UpdateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
NPI 1093513566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X
36 N ECHOHAWK LN STE 104B, Eagle, ID 83616

Other Names 1

Doing Business AsPremiere Spine & Sport

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor (Rehabilitation)
36 N ECHOHAWK LN STE 104B
EAGLE, ID 83616
Chiropractor (Rehabilitation)
36 N ECHOHAWK LN STE 104B
EAGLE, ID 83616

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 Roam Ind LLC's NPI number?

The NPI number for Roam Ind LLC is 1093513566. It was assigned to this organization in the NPPES registry on March 3, 2025. The provider is doing business as Premiere Spine & Sport.

Where is Roam Ind LLC located?

Roam Ind LLC is located at 36 N Echohawk Ln Ste 104B, Eagle, ID 83616. The listed phone number is (208) 968-6700.

What is Roam Ind LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

When was this NPI record last updated?

The NPPES record for Roam Ind LLC was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.