OrganizationActive
Idaho Joint and Spine LLC
NPI 1356759781 · Physical Medicine & Rehabilitation Physician · Boise, ID
Provider details
- NPI number
- 1356759781
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Whitaker, Owner(208) 322-5922
- License
- O-0794 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
1760 N Mitchell St
Boise, ID 83704-6542
Phone: (208) 322-5922
Fax: (208) 576-6932
Street-level locationGet directions
Mailing address
1760 N Mitchell St
Boise, ID 83704-6542
Registry dates
- Enumerated
- 2014-07-29
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.