Custom Rehab LLC
NPI 1215204862 · Physical Therapist · Chubbuck, ID
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Custom Rehab LLC is a Physical Therapist organization in Chubbuck, ID (NPI 1215204862).
Provider details
- NPI number
- 1215204862
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jared Mckee, Owner(208) 244-1882
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- 2011-11-28
- Last updated
- 2011-11-30
Frequently asked questions
- What is Custom Rehab LLC's NPI number?
- Custom Rehab LLC's National Provider Identifier (NPI) is 1215204862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Rehab LLC?
- Custom Rehab LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Custom Rehab LLC located?
- Custom Rehab LLC's practice location on file with NPPES is 265 E Chubbuck Rd, Chubbuck, ID 83202-5055.
- What is Custom Rehab LLC's phone number?
- The practice phone number listed in the NPPES registry for Custom Rehab LLC is (208) 244-1882.
- Does Custom Rehab LLC accept Medicare?
- Custom Rehab LLC 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 Custom Rehab LLC?
- The authorized official listed on Custom Rehab LLC's NPPES record is Jared Mckee, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Rehab LLC's NPI active?
- Yes — Custom Rehab LLC's NPI (1215204862) is active in the NPPES registry as of the last update on 2011-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.