Altitude Sport & Spine PLLC
NPI 1992663595 · Sports Medicine (Family Medicine) Physician · Idaho Falls, ID
Altitude Sport & Spine PLLC is a Sports Medicine (Family Medicine) Physician organization in Idaho Falls, ID (NPI 1992663595).
Provider details
- NPI number
- 1992663595
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joshua Sirucek, Owner(208) 213-5256
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2026-01-13
- Last updated
- 2026-01-13
- Certified
- 2026-01-12
Frequently asked questions
- What is Altitude Sport & Spine PLLC's NPI number?
- Altitude Sport & Spine PLLC's National Provider Identifier (NPI) is 1992663595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Altitude Sport & Spine PLLC?
- Altitude Sport & Spine PLLC is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Altitude Sport & Spine PLLC located?
- Altitude Sport & Spine PLLC's practice location on file with NPPES is 1582 Elk Creek Dr, Idaho Falls, ID 83404-8322.
- What is Altitude Sport & Spine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Altitude Sport & Spine PLLC is (208) 213-5256.
- Who is the authorized official for Altitude Sport & Spine PLLC?
- The authorized official listed on Altitude Sport & Spine PLLC's NPPES record is Joshua Sirucek, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Altitude Sport & Spine PLLC's NPI active?
- Yes — Altitude Sport & Spine PLLC's NPI (1992663595) is active in the NPPES registry as of the last update on 2026-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.