OrganizationActive
Idaho Sports Medicine Institute PA
NPI 1154356624 · Sports Medicine (Neuromusculoskeletal Medicine) Physician · Boise, ID
Provider details
- NPI number
- 1154356624
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Millier, Owner/Partner(208) 336-8250
- License
- N/A FOR GROUP
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1188 University Dr
Boise, ID 83706-3009
Phone: (208) 336-8250
Fax: (208) 345-9514
Street-level locationGet directions
Mailing address
1188 W University Dr
Boise, ID 83706-3009
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2026-01-06
- Certified
- 2026-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.