Active NPI
Reema Arun Khanolkar
- Geriatric Physical Therapist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PT-2054
- Practice address
- 1130 Allumbaugh St
Boise, ID 83704-8700 - Phone
- (208) 854-8517
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-2054 | ID | |
| Geriatric Physical Therapist | 2251G0304X | PT-2054 | ID | Primary |
Addresses
Primary practice location
1130 Allumbaugh St
Boise, ID 83704-8700
Mailing address
1289 N Liberty St
Apt#1326
Boise, ID 83704-8894
Phone (208) 559-5774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
581 E Fremont Ave
Sunnyvale, CA 94087-2775
Phone (408) 617-5461
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-2054 | ID | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Physical Therapy Services, PC | Physical Therapist | Current | Accepting new patients |
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Current | Accepting new patients | |
| Orthopaedic and Neurological Rehab Inc | Physical Therapist | Current | Accepting new patients |
Locations
2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017
17122 Beach Blvd
Ste 101
Huntington Beach, CA 92647
Phone (714) 848-7191
9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018
3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128
177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366
581 E Fremont Ave
Sunnyvale, CA 94087
Phone (408) 617-5461
3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022
3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 571-2603
8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252
Organizations & group practices 3
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.
-
- Physical Therapist
- Beverly Hills, CA
- NPI 1285160788
-
- Rehabilitation Clinic/Center
- Billings, MT
- NPI 1225496540
CA, Physical Therapist
-
- Rehabilitation Clinic/Center
- Tustin, CA
- NPI 1548940885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1396951208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1289 N LIBERTY ST",
"address_2": "APT#1326",
"city": "BOISE",
"state": "ID",
"postal_code": "837048894",
"telephone_number": "208-559-5774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 ALLUMBAUGH ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837048700",
"telephone_number": "208-854-8517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANOLKAR",
"first_name": "REEMA",
"middle_name": "ARUN",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-2054",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "ID",
"license": "PT-2054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.