Snake River Physical Therapy Specialists LLC
NPI 1174156814ActiveOrganization· Physical Therapist· Idaho Falls, ID
Physical Therapist in Idaho Falls, Idaho, registered in NPPES in February 2020. The authorized official on file is Renee Weber, PT, DPT, Physical Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174156814 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 21, 2020 |
| Last updated in NPPES | Sep 15, 2025 |
| Certified by provider | Sep 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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