Alice Loraine, DPT, OMS
Individual provider Active NPI Physical Therapist · Ponderay, ID
NPI 1295129476 · NPPES record last updated Sep 11, 2026
Key facts
- NPI
- 1295129476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT-3693 (ID)
- Practice address
- 30544 Id-200
Ste 326
Ponderay, ID 83852 - Phone
- (208) 059-5592
- Fax
- (808) 431-4344
- NPI assigned
- Mar 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
30544 Hwy 200
Onderay, ID 83852-5005
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230509000601 | ID | Practitioner - Physical Therapist in Private Practice | 8022473404 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-3693 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kauai in-Home Therapy LLC | Current |
Accepting new patients |
Locations
30544 Highway 200
Ponderay, ID 83852
Phone (208) 205-9559
30544 Highway 200
Ste 326
Ponderay, ID 83852
Phone (208) 205-9559
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-3693 | ID | Yes |
Addresses
Primary practice location
30544 Id-200
Ste 326
Ponderay, ID 83852
Mailing address
30544 Id-200
Ste 326
Ponderay, ID 83852
Phone (208) 059-5592
Other names
- Ali Loraine
Other providers in Ponderay, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.