Active NPI
MRC LLC
- Physical Therapist
- Eagle, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MRC LLC
- Practice address
- 450 W State St Ste 270
Eagle, ID 83616-6974 - Phone
- (925) 856-7007
- NPI assigned
- Feb 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Candau, PT, DPT, MTC
- Title
- Ceo
- Phone
- (208) 462-0808
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
450 W State St Ste 270
Eagle, ID 83616-6974
Mailing address
1940 S Bonito Way Ste 190
Meridian, ID 83642-5618
Phone (208) 287-9420
Other names 1
- Performance Physical Therapy of Idaho
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
450 W State St
Ste 270
Eagle, ID 83616
Phone (208) 462-0808
1940 S Bonito Way
Ste 190
Meridian, ID 83642
3750 E Pewter Falls St
Ste 120
Meridian, ID 83642
Phone (208) 462-0808
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Eagle, ID
- NPI 1457746067
-
- Physical Therapist
- Eagle, ID
- NPI 1619398393
-
- Physical Therapist
- Eagle, ID
- NPI 1457365538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770768000000",
"number": "1295234367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 S BONITO WAY STE 190",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425618",
"telephone_number": "208-287-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 W STATE ST STE 270",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166974",
"telephone_number": "925-856-7007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MRC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-05",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A",
"authorized_official_last_name": "CANDAU",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "208-462-0808",
"authorized_official_credential": "PT, DPT, MTC"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Performance Physical Therapy of Idaho",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.