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Snake River Physical Therapy Specialists 2

NPI 1134027451ActiveOrganization· Physical Therapist· Rexburg, ID

Physical Therapist in Rexburg, Idaho, registered in NPPES in October 2026, part of Snake River Physical Therapy Specialists LLC. The authorized official on file is Corene Young, Billing Manager.

Overview

NPI1134027451
StatusActive
Entity typeOrganization (subpart)
Parent organizationSnake River Physical Therapy Specialists LLC
NPI issuedOct 27, 2026
Last updated in NPPESOct 30, 2026
Certified by providerOct 30, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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