OrganizationActive
Gridiron Rehab and Athletic Fitness, LLC
NPI 1033359450 · Physical Therapy Clinic/Center · Meridian, ID
Provider details
- NPI number
- 1033359450
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Tamura, Administrator / Managing Employee(208) 887-8684
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3035 W Mcmillan Rd
Suite 104
Meridian, ID 83646
Phone: (208) 887-8684
Fax: (208) 887-9226
Street-level locationGet directions
Mailing address
3035 W Mcmillan Rd
Meridian, ID 83646-6163
Registry dates
- Enumerated
- 2009-02-25
- Last updated
- 2018-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.