IDAHO PHYSICAL MEDICINE AND REHABILITATION PA
NPI 1497949705
Clinic/Center - Ambulatory Surgical in Meridian, ID

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since August 29, 2007CLIA 13D2031469 · Waiver

3551 E OVERLAND ROAD, MERIDIAN, ID 83642(208) 884-1333 Get Directions Write a Review

NPPES record last updated: June 5, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 1497949705) is a healthcare organization registered as an ambulatory surgical in Meridian, Idaho and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Kate A Shelton, Administrator, as its authorized official.

NPPES Registry Identity

NPI1497949705

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameIDAHO PHYSICAL MEDICINE AND REHABILITATION PA

Location Address3551 E OVERLAND ROADMeridian, ID 83642

Mailing AddressPo Box 1128Boise, ID 83701-1128 · (208) 489-4016 · Fax (208) 489-4015

Phone(208) 884-1333

Organization SubpartYesParent: Idaho Physicial Medicine And Rehabilitation

Authorized OfficialKate A SheltonAdministrator · (208) 287-6558

Enumeration DateAugust 29, 2007

Last NPPES UpdateJune 5, 2014

✔ NPI 1497949705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X

3551 E OVERLAND ROAD, Meridian, ID 83642

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Other Identifiers 3

Medicare PIN1870010ID

OtherP00612157ID · Railroad Medicare

Medicaid808002500ID

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.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 13D2031469

Idaho Physical Medicine & Rehabilitation PA · Meridian, ID

Active · expires Oct 19, 2027

CLIA Number13D2031469

Laboratory TypePhysician Office

Certificate Effective DateOctober 20, 2025

Certificate Expiration DateOctober 19, 2027

Laboratory DirectorTiffany Mecham

Laboratory Phone(208) 489-4016

Laboratory LocationIdaho Physical Medicine & Rehabilitation PA3551 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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

242 services84 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

195 services116 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

132 services70 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

100 services89 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

92 services40 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

86 services51 patients

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 1497949705. It was assigned to this organization in the NPPES registry on August 29, 2007.

Where is Idaho Physical Medicine And Rehabilitation PA located?

Idaho Physical Medicine And Rehabilitation PA is located at 3551 E Overland Road, 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 Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Idaho Physical Medicine And Rehabilitation PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2031469) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Idaho Physical Medicine And Rehabilitation PA accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan 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 June 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.