Individual provider Active NPI

Joseph Alex Marrujo, DPT

  • Physical Therapist
  • Meridian, ID
National Provider Identifier
1285597880
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6871188 Issued in ID
Practice address
1649 E Pine Ave
Meridian, ID 83642-8135
Phone
(208) 917-2660
Fax
(208) 917-2630
NPI assigned
Dec 9, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6871188 ID Primary

Addresses

Primary practice location

1649 E Pine Ave
Meridian, ID 83642-8135

Mailing address

3888 N Park Crossing Ave
Meridian, ID 83646-1670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251218003172 ID Practitioner - Physical Therapist in Private Practice 8527553387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1649 E Pine Ave
Meridian, ID 83642-8135
Phone (208) 917-2660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6871188IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rock and Armor Physical Therapy and Sports Performance, LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients

Locations

104 W 53rd St
Garden City, ID 83714
Phone (208) 375-5511

1649 E Pine Ave
Meridian, ID 83642
Phone (208) 917-2660

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1285597880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3888 N PARK CROSSING AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 E PINE AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428135",
            "telephone_number": "208-917-2660",
            "fax_number": "208-917-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRUJO",
        "first_name": "JOSEPH",
        "middle_name": "ALEX",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "6871188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.