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ST. LUKE'S ELKS CHILDRENS REHAB
NPI 1548697006
Rehabilitation Hospital - Children in Boise, ID

Active since September 30, 2013
405 W MYRTLE ST, BOISE, ID 83702(208) 489-5880 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. Luke's Elks Childrens Rehab NPPES

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

ST. LUKE'S ELKS CHILDRENS REHAB (NPI 1548697006) is a healthcare organization registered as a children in Boise, Idaho and active in the NPI registry since September 2013. The organization lists Brent Wilson, Compliance And Risk Management, as its authorized official.

NPPES Registry Identity

NPI1548697006
Entity TypeOrganization
Primary Taxonomy283XC2000X
Legal Business NameST. LUKE'S ELKS CHILDRENS REHAB
Location Address405 W MYRTLE STBoise, ID 83702-7658
Mailing Address405 W Myrtle StBoise, ID 83702-7658
Phone(208) 489-5880
Organization SubpartNo
Authorized OfficialBrent WilsonCompliance And Risk Management · (208) 489-4761
Enumeration DateSeptember 30, 2013
✔ NPI 1548697006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation Hospital · ChildrenHospitals
Taxonomy Code283XC2000X
License✔ Licensed in ID · SLP-2340
405 W MYRTLE ST, Boise, ID 83702
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Other Providers at the Same Location NPPES 7

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

KRISTIN G BOOTON MS CCC-SLP
Speech-Language Pathologist
405 W MYRTLE ST
BOISE, ID 83702
Ada County (208) 972-2510
MS. BETH ANNE JACOB OTR/L
Occupational Therapist
405 W MYRTLE ST
BOISE, ID 83702
Ada County (208) 489-5880
ST. LUKE'S ELKS REHAB
Rehabilitation Unit
405 W MYRTLE ST
BOISE, ID 83702
Ada County (208) 489-5880
LIZABETH GARDNER PT
Physical Therapist
405 W MYRTLE ST
BOISE, ID 83702
Ada County (208) 489-5880
ELKS REHAB
Rehabilitation Unit
405 W MYRTLE ST
BOISE, ID 83702
Ada County (208) 489-5880
SHANNA MARIE HERMAN PHYSICAL THERAPIST
Physical Therapist
405 W MYRTLE ST
BOISE, ID 83702
Ada County (208) 385-3420
KELLY O'LEARY
Speech-Language Pathologist
405 W MYRTLE ST
BOISE, ID 83702
Ada County (208) 489-5880

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 St. Luke's Elks Childrens Rehab's NPI number?

The NPI number for St. Luke's Elks Childrens Rehab is 1548697006. It was assigned to this organization in the NPPES registry on September 30, 2013.

Where is St. Luke's Elks Childrens Rehab located?

St. Luke's Elks Childrens Rehab is located at 405 W Myrtle St, Boise, ID 83702. The listed phone number is (208) 489-5880.

What is St. Luke's Elks Childrens Rehab's specialty?

The primary specialty registered for this NPI is Rehabilitation Hospital, specializing in Children, with taxonomy code 283XC2000X.

When was this NPI record last updated?

The NPPES record for St. Luke's Elks Childrens Rehab was last updated on September 30, 2013. 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.