IDAHO JOINT AND SPINE LLC
NPI 1356759781
Physical Medicine & Rehabilitation in Boise, ID

Active since July 29, 2014CLIA 13D2121978 · Waiver
1760 N MITCHELL ST, BOISE, ID 83704(208) 322-5922(208) 576-6932 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Idaho Joint And Spine Llc NPPES

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

IDAHO JOINT AND SPINE LLC (NPI 1356759781) is a healthcare organization registered as a physical medicine & rehabilitation in Boise, Idaho and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through November 16, 2026 and lists James A Whitaker, Owner, as its authorized official.

NPPES Registry Identity

NPI1356759781
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameIDAHO JOINT AND SPINE LLC
Location Address1760 N MITCHELL STBoise, ID 83704-6542
Mailing Address1760 N Mitchell StBoise, ID 83704-6542 · (208) 322-5922 · Fax (208) 576-6932
Fax(208) 576-6932
Organization SubpartNo
Authorized OfficialJames A WhitakerOwner · (208) 322-5922
Enumeration DateJuly 29, 2014
Last NPPES UpdateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
NPI 1356759781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in ID · O-0794
Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License O-0794 (ID)
1760 N MITCHELL ST, Boise, ID 83704

Other Identifiers 1

Medicaid1356759781-001ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2121978

Idaho Joint And Spine LLC · Boise, ID
Active · expires Nov 16, 2026
CLIA Number13D2121978
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorJames Whitaker
Laboratory Phone(208) 322-5922
Laboratory LocationIdaho Joint And Spine LLC1760 N Mitchell St, Boise, ID 83704
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Physical Medicine & Rehabilitation
1760 N MITCHELL ST
BOISE, ID 83704

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 Idaho Joint And Spine LLC's NPI number?

The NPI number for Idaho Joint And Spine LLC is 1356759781. It was assigned to this organization in the NPPES registry on July 29, 2014.

Where is Idaho Joint And Spine LLC located?

Idaho Joint And Spine LLC is located at 1760 N Mitchell St, Boise, ID 83704. The listed phone number is (208) 322-5922.

What is Idaho Joint And Spine LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Does Idaho Joint And Spine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2121978) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Idaho Joint And Spine LLC accept?

Health plans from Moda Health Plan, Inc. list Idaho Joint And Spine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Idaho Joint And Spine LLC was last updated on September 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.