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

Spine and Sport Pysical Therapy PC

Organization Physical Therapist · NPI 1992975825

Spine and Sport Pysical Therapy PC is a Physical Therapist in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

217 N 2nd E
Rexburg, ID 83440-1621
Phone: (208) 359-6127
Fax: (208) 359-9479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1346 (ID)

Record details

NPI number1992975825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jody Rawlings — Physical Therapist · (208) 359-6127
NPI enumeratedMarch 6, 2008
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing address217 N 2nd East, Rexburg, ID 83440-2057

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