Idaho Physical Medicine & Rehabilitation
NPI 1497969604ActiveOrganization· Physician Assistant· Boise, ID
Physician Assistant in Boise, Idaho, registered in NPPES in May 2007, part of Idaho Physical Medicine & Rehabilitation. The authorized official on file is Sharon A. Lee, Administrator.
Overview
| NPI | 1497969604 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Idaho Physical Medicine & Rehabilitation |
| NPI issued | May 9, 2007 |
| Last updated in NPPES | Mar 16, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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