OrganizationActive
Athletic Training Center Inc.
NPI 1629094883 · Physical Therapist · Boise, ID
Provider details
- NPI number
- 1629094883
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Keri Hine, Vice President(208) 870-9225
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
10259 W Emerald St
Suite 160
Boise, ID 83704-8987
Phone: (208) 658-0602
Fax: (208) 377-1468
Street-level locationGet directions
Mailing address
Po Box 147
Caldwell, ID 83606-0147
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2008-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.