OrganizationActive
Physical Therapy and Sports Medicine Clinic Inc
NPI 1568645554 · Physical Therapist · Rigby, ID
Provider details
- NPI number
- 1568645554
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Laura Jenkins, Secretary(208) 745-8580
- License
- T 236 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
4102 E 82 N
Rigby, ID 83442-5894
Phone: (208) 745-8580
Fax: (208) 745-8580
Approximate (ZIP-level) locationGet directions
Mailing address
4102 E 82 N
Rigby, ID 83442-5894
Registry dates
- Enumerated
- 2007-12-12
- Last updated
- 2008-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.