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

Idaho Physical Medicine and Rehabilitation PA

Organization Physical Medicine & Rehabilitation Physician · NPI 1497711329

Idaho Physical Medicine and Rehabilitation PA is a Physical Medicine & Rehabilitation Physician in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3551 E Overland Rd
Meridian, ID 83642
Phone: (208) 884-1333
Fax: (208) 489-4015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X (ID)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X (ID)

Record details

NPI number1497711329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Mecham — Administrator · (208) 884-1333
NPI enumeratedApril 20, 2006
Last updated in NPPESJanuary 15, 2021
Certification dateJanuary 15, 2021
Mailing addressPo Box 1128, Boise, ID 83701

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