Spine and Sport Pysical Therapy PC
NPI 1992975825ActiveOrganization· Physical Therapist· Rexburg, ID
Physical Therapist in Rexburg, Idaho, registered in NPPES in March 2008. The authorized official on file is Jody Boyd Rawlings, P.T., Physical Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1992975825 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2008 |
| Last updated in NPPES | Dec 18, 2025 |
| Certified by provider | Dec 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1346 | ID |
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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