IDAHO PHYSICAL MEDICINE AND REHABILITATION PA
NPI 1497711329
Physical Medicine & Rehabilitation in Meridian, ID

Active since April 20, 2006CLIA Certified · 4 labs
3551 E. OVERLAND RD., MERIDIAN, ID 83642(208) 884-1333(208) 489-4015 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Idaho Physical Medicine And Rehabilitation Pa NPPES

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

IDAHO PHYSICAL MEDICINE AND REHABILITATION PA (NPI 1497711329) is a healthcare organization registered as a physical medicine & rehabilitation in Meridian, Idaho and active in the NPI registry since April 2006. The organization holds 4 active CLIA laboratory certificates and lists Tiffany Mecham, Administrator, as its authorized official.

NPPES Registry Identity

NPI1497711329
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameIDAHO PHYSICAL MEDICINE AND REHABILITATION PA
Location Address3551 E. OVERLAND RD.Meridian, ID 83642
Mailing AddressPo Box 1128Boise, ID 83701 · (208) 884-1333 · Fax (208) 489-4015
Fax(208) 489-4015
Organization SubpartNo
Authorized OfficialTiffany MechamAdministrator · (208) 884-1333
Enumeration DateApril 20, 2006
Last NPPES UpdateJanuary 15, 2021
NPPES CertifiedJanuary 15, 2021
✔ NPI 1497711329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
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.
3551 E. OVERLAND RD., Meridian, ID 83642

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Idaho Physical Medicine And Rehabilitation Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Idaho Physical Medicine And Rehabilitation PA, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 13 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Physical Medicine and Rehabilitation9
Nurse Practitioner2
Pain Management2

Clinicians, nearest first (13)

Physical Medicine and Rehabilitation
NPI 1881665347
3551 E OVERLAND RD
Meridian, ID 83642
(208) 884-1333
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1063498954
3551 E. OVERLAND RD.
Meridian, ID 83642
(208) 884-1333
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1790825842
3551 E. OVERLAND RD.
Meridian, ID 83642
(208) 884-1333
✔ PECOS✔ Accepts MedicareSame address
Pain Management
NPI 1508825456
3551 E OVERLAND RD
Meridian, ID 83642
(208) 884-1333
✔ PECOS✔ Accepts MedicareSame address
Pain Management
NPI 1619238276
3551 E. OVERLAND RD.
Meridian, ID 83642
(208) 884-1333
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1093791972
3551 E. OVERLAND RD.
Meridian, ID 83642
(208) 884-1333
✔ PECOSSame address
Physical Medicine and Rehabilitation
NPI 1447710025
3551 E OVERLAND RD
Meridian, ID 83642
(208) 884-1333
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1295362820
3551 E OVERLAND RD
Meridian, ID 83642
(775) 327-5174
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1841638723
3551 E OVERLAND RD
Meridian, ID 83642
(208) 884-1333
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356759948
3041 E COPPER POINT DR
Meridian, ID 83642
(208) 514-4400
✔ PECOS✔ Accepts Medicare0.5 mi
Physical Medicine and Rehabilitation
NPI 1023094901
600 ROBBINS RD SUITE #300
Boise, ID 83702
(208) 489-4016
✔ PECOS8.2 mi
Nurse Practitioner
NPI 1992154538
161 E MALLARD DR STE 120
Boise, ID 83706
(208) 884-1333
✔ PECOS✔ Accepts Medicare8.5 mi
Physical Medicine and Rehabilitation
NPI 1457337446
161 E. MALLARD DR. STE 120
Boise, ID 83706
(208) 884-1333
✔ PECOS✔ Accepts Medicare8.5 mi

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

CLIA Laboratory Certificates CMS CLIA 4

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 13D1074117

Idaho Physical Medicine & Rehab - ASC · Meridian, ID
Active · expires Sep 23, 2027
CLIA Number13D1074117
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorSasha Mcnabb
Laboratory Phone(208) 884-1333
Laboratory LocationIdaho Physical Medicine & Rehab - ASC3551 E Overland Rd, Meridian, ID 83642
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2244089

Idaho Physical Medicine And Rehabilitation · Emmett, ID
Active · expires Nov 28, 2027
CLIA Number13D2244089
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorTiffany B. Mecham
Laboratory Phone(208) 884-1333
Laboratory LocationIdaho Physical Medicine And Rehabilitation1202 E Locust St, Emmett, ID 83617
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2165110

Idaho Physical Medicine And Rehabilitation PA · Mountain Home, ID
Active · expires Apr 18, 2027
CLIA Number13D2165110
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorTiffany Mecham
Laboratory Phone(208) 884-1333
Laboratory LocationIdaho Physical Medicine And Rehabilitation PA840 N 4th E, Mountain Home, ID 83647
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2031665

Idaho Physical Medicine & Rehabilitation · Boise, ID
Active · expires Oct 24, 2027
CLIA Number13D2031665
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorTiffany Mecham
Laboratory Phone(208) 884-1333
Laboratory LocationIdaho Physical Medicine & Rehabilitation161 E Mallard Dr Ste 120, Boise, ID 83706
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Physical Medicine And Rehabilitation PA's NPI number?

The NPI number for Idaho Physical Medicine And Rehabilitation PA is 1497711329. It was assigned to this organization in the NPPES registry on April 20, 2006.

Where is Idaho Physical Medicine And Rehabilitation PA located?

Idaho Physical Medicine And Rehabilitation PA is located at 3551 E. Overland Rd., Meridian, ID 83642. The listed phone number is (208) 884-1333.

What is Idaho Physical Medicine And Rehabilitation PA's specialty?

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

Is Idaho Physical Medicine And Rehabilitation PA enrolled in Medicare?

Yes. Idaho Physical Medicine And Rehabilitation PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idaho Physical Medicine And Rehabilitation PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Idaho Physical Medicine And Rehabilitation PA. 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. The largest specialties are Physical Medicine and Rehabilitation (9), Nurse Practitioner (2) and Pain Management (2). Of these, 9 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Idaho Physical Medicine And Rehabilitation PA hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Idaho Physical Medicine And Rehabilitation PA accept?

Health plans from Moda Health Plan, Inc. list Idaho Physical Medicine And Rehabilitation PA 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 Physical Medicine And Rehabilitation PA was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.