Saint Alphonsus Regional Medical Center Inc
Organization Active NPI Physical Therapist · Boise, ID
NPI 1013136209 · NPPES record last updated Mar 16, 2026
Key facts
- NPI
- 1013136209
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2 (ID)
- Legal business name
- SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
- Practice address
- 901 N Curtis Rd Ste 204
Boise, ID 83706-1340 - Phone
- (208) 367-3315
- NPI assigned
- Apr 25, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
Authorized official
- Name
- Brian Lannie Checketts
- Title
- Cfo
- Phone
- (208) 367-7347
Other NPIs on the same Medicare enrollment 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030627000017 | ID | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 3476462359 |
10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Meridian, ID; Eagle, ID; Boise, ID |
National Provider Directory
- Part of
- J D Harviel MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 2 | ID | |
| Rehabilitation Chiropractor |
111NR0400X | 2 | ID | |
| Physical Therapist |
225100000X | 2 | ID | Yes |
| Pediatric Physical Therapist |
2251P0200X | |||
| Recreation Therapist |
225800000X | 2 | ID | |
| Occupational Therapist |
225X00000X | 2 | ID | |
| Pediatric Occupational Therapist |
225XP0200X | |||
| Pulmonary Rehabilitation Certified Respiratory Therapist |
2278P1005X | 2 | ID | |
| Speech-Language Pathologist |
235Z00000X | 2 | ID |
Addresses
Primary practice location
901 N Curtis Rd Ste 204
Boise, ID 83706-1340
Mailing address
1055 N Curtis Rd
Boise, ID 83706-1309
Other names
- SAINT ALPHONSUS REHABILITATION SERVICES
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Boise, ID
- Saint Alphonsus Physicians, PA
- Saint Alphonsus Regional Medical Center
- Saint Alphonsus Regional Medical Center
- Saint Alphonsus Regional Medical Center
- Saint Alphonsus Regional Medical Center Inc
- Saint Alphonsus Regional Medical Center Inc
- Saint Alphonsus Regional Medical Center Inc
- Saint Alphonsus Regional Medical Center Inc
- Saint Alphonsus Regional Medical Center Inc
- Saint Alphonsus Regional Medical Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.