Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Full Potential Physical Therapy, PLLC

Organization Physical Therapy Clinic/Center · NPI 1477093334

Full Potential Physical Therapy, PLLC is a Physical Therapy Clinic/Center in Lewiston, Idaho. Licensed in Idaho. Registered with an NPI since 2017.

Licensed in
ID
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

450 Thain Rd Ste A
Lewiston, ID 83501-5300
Phone: (208) 816-8836
Fax: (208) 621-2995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence PT-1243 (ID)

Record details

NPI number1477093334
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Saker Medavarapu — Physical Therapist · (208) 816-8836
NPI enumeratedFebruary 26, 2017
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing address450 Thain Rd Ste A, Lewiston, ID 83501-5300

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