OrganizationActive
Siddhivinayak, LLC
NPI 1336847342 · Physical Therapist · Meridian, ID
Provider details
- NPI number
- 1336847342
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Gunjan Patel, President(208) 703-4950
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
3645 E Overland Rd
Meridian, ID 83642-6751
Phone: (208) 703-4950
Street-level locationGet directions
Mailing address
5457 S Ashcroft Way
Meridian, ID 83642-6866
Other names (DBA / former)
- Doing business as
- Fyzical Therapy & Balance Centers
Registry dates
- Enumerated
- 2023-02-20
- Last updated
- 2023-02-20
- Certified
- 2023-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.