Idaho Sports & Spine PLLC
NPI 1033417035 · Sports Medicine (Family Medicine) Physician · Pocatello, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Idaho Sports & Spine PLLC is a Sports Medicine (Family Medicine) Physician organization in Pocatello, ID (NPI 1033417035).
Provider details
- NPI number
- 1033417035
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Hansen, Owner(208) 478-4522
- License
- O-0400 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Other names (DBA / former)
- Former legal business name
- Christopher R Johnson DO, PLLC
Registry dates
- Enumerated
- 2011-03-01
- Last updated
- 2019-11-04
Frequently asked questions
- What is Idaho Sports & Spine PLLC's NPI number?
- Idaho Sports & Spine PLLC's National Provider Identifier (NPI) is 1033417035, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Sports & Spine PLLC?
- Idaho Sports & Spine PLLC is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Idaho Sports & Spine PLLC located?
- Idaho Sports & Spine PLLC's practice location on file with NPPES is 950 Hospital Way, Pocatello, ID 83201-2789.
- What is Idaho Sports & Spine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Idaho Sports & Spine PLLC is (208) 478-4522.
- Does Idaho Sports & Spine PLLC accept Medicare?
- Idaho Sports & Spine PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Idaho Sports & Spine PLLC?
- The authorized official listed on Idaho Sports & Spine PLLC's NPPES record is Stephen Hansen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Sports & Spine PLLC's NPI active?
- Yes — Idaho Sports & Spine PLLC's NPI (1033417035) is active in the NPPES registry as of the last update on 2019-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.