Organization Active NPI

Rehab Systems Caldwell LLC

Doing business as Coyote Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Caldwell, ID
National Provider Identifier
1346803335
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
REHAB SYSTEMS CALDWELL LLC
Doing business as
Coyote Prosthetics & Orthotics
Practice address
504 N 10TH Ave Ste a
Caldwell, ID 83605-2925
Phone
(208) 453-6404
Fax
(208) 453-6402
NPI assigned
Apr 16, 2019
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Colette Brown
Title
Admin Manager
Phone
(208) 342-4104

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

504 N 10TH Ave Ste a
Caldwell, ID 83605-2925

Mailing address

427 N Curtis Rd
Boise, ID 83706-1439
Phone (208) 342-4104

Other names 1

  • Coyote Prosthetics & Orthotics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240531003902 ID DME Supplier - Medical Supply Company With Orthotic-Prosthetic 0941742233 Practice locations: Caldwell, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rehab Systems Caldwell LLC504 N 10TH Ave, Caldwell, ID 83605-2925(208) 453-6404 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since May 17, 2024

National Provider Directory

National Provider Directory

Locations

504 N 10th Ave
Caldwell, ID 83605

542 Addison Ave W
Twin Falls, ID 83301
Phone (208) 342-4104

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1346803335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061439",
            "telephone_number": "208-342-4104",
            "fax_number": "208-342-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N 10TH AVE STE A",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836052925",
            "telephone_number": "208-453-6404",
            "fax_number": "208-453-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB SYSTEMS CALDWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_title_or_position": "ADMIN MANAGER",
        "authorized_official_telephone_number": "208-342-4104"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coyote Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coyote Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caldwell, ID

Sources for this page

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