Individual provider Active NPI

Jennifer Lynn Nevala, MPT

  • Physical Therapist
  • Meridian, ID
National Provider Identifier
1295702389
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1430 Issued in ID
Practice address
50 E James Court
Suite a
Meridian, ID 83642
Phone
(208) 895-0715
Fax
(208) 895-0746
NPI assigned
Mar 7, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PT1430 ID Primary

Addresses

Primary practice location

50 E James Court
Suite a
Meridian, ID 83642

Mailing address

50 E James Court
Suite a
Meridian, ID 83642
Phone (208) 895-0715

Other identifiers 1

IdentifierTypeStateIssuer
806804600MedicaidID

Other names 1

  • Ms. Jennifer Lynn Hoffmann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT1430IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Action Therapy Physical Therapist Past Accepting new patients
Peak Physical Therapy P C Physical Therapist Past Accepting new patients
Action Therapy, P.C. Physical Therapist PastSince Oct 5, 2016 Accepting new patients
Intermountain Physical Therapy Limited Partnership Past Accepting new patients
Intermountain Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295702389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E JAMES COURT",
            "address_2": "SUITE A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-895-0715",
            "fax_number": "208-895-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E JAMES COURT",
            "address_2": "SUITE A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-895-0715",
            "fax_number": "208-895-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVALA",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT1430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806804600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HOFFMANN",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 13, 2026; 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.