OrganizationActive
I Can PT LLC
NPI 1194129817 · Physical Therapist · Meridian, ID
Provider details
- NPI number
- 1194129817
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Heather Henderson, Ceo(208) 789-0200
- License
- PT-2550 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1626 Wells Ave
Suite 105
Meridian, ID 83642-4524
Phone: (208) 789-0200
Fax: (208) 288-2784
Street-level locationGet directions
Mailing address
1626 Wells Ave
Meridian, ID 83642-4524
Other names (DBA / former)
- Doing business as
- I Can PT Doctors of Physical Therapy
Registry dates
- Enumerated
- 2014-10-09
- Last updated
- 2015-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.