OrganizationActive
Idaho Sports Medicine Institute
NPI 1700180445 · Physical Therapy Clinic/Center · Boise, ID
Provider details
- NPI number
- 1700180445
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Roy Tweedle, Business Manager(208) 336-8250
- License
- PT-1825 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1188 W University Dr
Boise, ID 83706-3009
Phone: (208) 336-8250
Fax: (208) 345-9514
Street-level locationGet directions
Mailing address
1188 W University Dr
Boise, ID 83706-3009
Registry dates
- Enumerated
- 2011-01-10
- Last updated
- 2011-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.