Roam Ind LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

ROAM IND LLC

Doing business as

Premiere Spine & Sport

Practice address

36 N Echohawk LN Ste 104B
Eagle, ID 83616-4013

Phone

(208) 968-6700

Fax

(208) 563-3938

NPI assigned

Mar 3, 2025

Last updated

Mar 5, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Justin P Brink, DCNPI 1518003979

Title

Owner

Phone

(208) 968-6700

Specialties & licenses 2

Addresses

Other names 1

• Premiere Spine & Sport Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin P Brink, D.C

  • Rehabilitation Chiropractor
  • Eagle, ID
  • NPI 1518003979
  NPD Authorized official
• Kevin Asplund, DC

  • Rehabilitation Chiropractor
  • Eagle, ID
  • NPI 1528839610
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1093513566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 N ECHOHAWK LN STE 104B",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164013",
            "telephone_number": "208-968-6700",
            "fax_number": "208-563-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N ECHOHAWK LN STE 104B",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164013",
            "telephone_number": "208-968-6700",
            "fax_number": "208-563-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAM IND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "BRINK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-968-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premiere Spine & Sport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jillian Alexa Rippey, ARNP
• Natalie Ritchey
• Nicholas Ray Riveland, OTR/L
• River Bend Behavioral Health
• River Medical Family Medicine, PLLC
• Denise Michele Roberts, PT
• Jessica Marie Roberts
• Michael D. Roberts, RPH
• Cindy Robinson
• Rocky Mountain GYN and Hormone Center

• Rehabilitation Chiropractor in Eagle, ID
• Providers in Eagle, ID by specialty
• Rehabilitation Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.