OrganizationActive
Northwest Occupational Medicine & Neurosurgical Spine Institute LLC
NPI 1619539897 · Occupational Medicine Clinic/Center · Boise, ID
Provider details
- NPI number
- 1619539897
- Entity type
- Organization
- Primary specialty
- Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Montalbano, Owner(208) 327-5600
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
8921 W Hackamore Dr
Boise, ID 83709-1673
Phone: (208) 375-1105
Fax: (208) 377-7707
Street-level locationGet directions
Mailing address
6140 W Curtisian Ave Ste 400
Boise, ID 83704-8907
Registry dates
- Enumerated
- 2019-07-08
- Last updated
- 2022-05-09
- Certified
- 2022-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.