Pioneer Sports & Pain Center LLC
NPI 1598068280ActiveOrganization· Chiropractor, Rehabilitation· Kuna, ID
Chiropractor, Rehabilitation in Kuna, Idaho, registered in NPPES in December 2010. The authorized official on file is Stephen Kyle Burtenshaw, Owner. Enrolled in Medicare as dme supplier - physician assistant and part b supplier - clinic/group practice.
Overview
| NPI | 1598068280 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2010 |
| Last updated in NPPES | Aug 24, 2026 |
| Certified by provider | Aug 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Rehabilitation Primary | 111NR0400X | CHIA-1159 | ID |
| Physical Therapist | 225100000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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 DME Supplier - Physician Assistant (ID); Part B Supplier - Clinic/Group Practice (ID) |
|---|