IDAHO PHYSICAL MEDICINE AND REHABILITATION PA
NPI 1497711329
Physical Medicine & Rehabilitation in Meridian, ID
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
Specialties & Licenses 2
Group Practice 1
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
13Medicare 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
Clinicians, nearest first (13)
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, IDCertificate of Waiver 13D2244089
Idaho Physical Medicine And Rehabilitation · Emmett, IDCertificate of Waiver 13D2165110
Idaho Physical Medicine And Rehabilitation PA · Mountain Home, IDCertificate of Waiver 13D2031665
Idaho Physical Medicine & Rehabilitation · Boise, IDFrequently 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.