Palouse Pelvic Rehabilitation & Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PALOUSE PELVIC REHABILITATION & PHYSICAL THERAPY, PLLC

Practice address

1944 Crestview Dr
Moscow, ID 83843-9657

Phone

(509) 553-9397

NPI assigned

Apr 11, 2025

Last updated

Apr 11, 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

Kimberly Fletcher, PTNPI 1689863367

Title

Owner/Physical Therapist

Phone

(509) 553-9397

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kimberly Marie Fletcher

  • Physical Therapist
  • Moscow, ID
  • NPI 1689863367
  NPD Authorized official

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1194510867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 CRESTVIEW DR",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838439657",
            "telephone_number": "509-553-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 CRESTVIEW DR",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838439657",
            "telephone_number": "509-553-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOUSE PELVIC REHABILITATION & PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "509-553-9397",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palouse Foot & Ankle Clinic
• Palouse Holistic Health & Aesthetics
• Palouse Imaging Consultants, PLLC
• Palouse Oral & Maxillofacial Surgery
• Palouse Pediatric Dentistry
• Palouse Prairie Educational Organization (Palouse Prairie School)
• Palouse Specialty Physicians, P.S. (Palouse Neurology)
• Palouse Specialty Physicians, P.S. (Palouse Oncology)
• Palouse Surgery Center, LLC
• Palouse View Dental PLLC

• Physical Therapy Clinic/Center in Moscow, ID
• Providers in Moscow, ID by specialty
• Physical Therapy Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.