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

Idaho Sports Medicine Institute PA

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1154356624

Idaho Sports Medicine Institute PA is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Boise, Idaho. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1188 University Dr
Boise, ID 83706-3009
Phone: (208) 336-8250
Fax: (208) 345-9514
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) Taxonomy 204C00000X · Licence N/A FOR GROUP

Record details

NPI number1154356624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Millier — Owner/Partner · (208) 336-8250
NPI enumeratedJuly 12, 2006
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address1188 W University Dr, Boise, ID 83706-3009

Other providers in Boise