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

Northwest Occupational Medicine & Neurosurgical Spine Institute LLC

Organization Physical Therapy Clinic/Center · NPI 1619539897

Northwest Occupational Medicine & Neurosurgical Spine Institute LLC is a Physical Therapy Clinic/Center in Boise, Idaho. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8921 W Hackamore Dr
Boise, ID 83709-1673
Phone: (208) 375-1105
Fax: (208) 377-7707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Clinic/Center (primary) Taxonomy 261QX0100X
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1619539897
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Montalbano — Owner · (208) 327-5600
NPI enumeratedJuly 8, 2019
Last updated in NPPESMay 9, 2022
Certification dateMay 9, 2022
Mailing address6140 W Curtisian Ave Ste 400, Boise, ID 83704-8907

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