Performance Physio PLLC
NPI 1073097390 · Physical Therapy Clinic/Center · Lewiston, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Performance Physio PLLC is a Physical Therapy Clinic/Center organization in Lewiston, ID (NPI 1073097390).
Provider details
- NPI number
- 1073097390
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kyle Palmer, Owner(509) 780-1090
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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)
- Doing business as
- Performance Health and Wellness
- Doing business as
- Performance Physio
Registry dates
- Enumerated
- 2018-09-21
- Last updated
- 2021-01-28
- Certified
- 2021-01-28
Frequently asked questions
- What is Performance Physio PLLC's NPI number?
- Performance Physio PLLC's National Provider Identifier (NPI) is 1073097390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Performance Physio PLLC?
- Performance Physio PLLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Performance Physio PLLC located?
- Performance Physio PLLC's practice location on file with NPPES is 621 Main St Ste a, Lewiston, ID 83501-1871.
- What is Performance Physio PLLC's phone number?
- The practice phone number listed in the NPPES registry for Performance Physio PLLC is (509) 769-7551.
- Does Performance Physio PLLC accept Medicare?
- Performance Physio 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 Performance Physio PLLC?
- The authorized official listed on Performance Physio PLLC's NPPES record is Kyle Palmer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Performance Physio PLLC's NPI active?
- Yes — Performance Physio PLLC's NPI (1073097390) is active in the NPPES registry as of the last update on 2021-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.