Wild Rose Physio PLLC
NPI 1154162113 · Physical Therapy Clinic/Center · Moscow, ID
Wild Rose Physio PLLC is a Physical Therapy Clinic/Center organization in Moscow, ID (NPI 1154162113).
Provider details
- NPI number
- 1154162113
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lauren Jentges, Owner(206) 948-7475
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
2 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
Registry dates
- Enumerated
- 2024-06-04
- Last updated
- 2024-06-04
- Certified
- 2024-06-04
Frequently asked questions
- What is Wild Rose Physio PLLC's NPI number?
- Wild Rose Physio PLLC's National Provider Identifier (NPI) is 1154162113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Rose Physio PLLC?
- Wild Rose Physio PLLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wild Rose Physio PLLC located?
- Wild Rose Physio PLLC's practice location on file with NPPES is 325 W Palouse River Dr, Moscow, ID 83843-8956.
- What is Wild Rose Physio PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wild Rose Physio PLLC is (208) 689-6044.
- Who is the authorized official for Wild Rose Physio PLLC?
- The authorized official listed on Wild Rose Physio PLLC's NPPES record is Lauren Jentges, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Rose Physio PLLC's NPI active?
- Yes — Wild Rose Physio PLLC's NPI (1154162113) is active in the NPPES registry as of the last update on 2024-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.