Form First Rehab and Athletics

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FORM FIRST REHAB AND ATHLETICS

Practice address

148 Cheney Dr W Ste 400
Twin Falls, ID 83301-6098

Phone

(208) 539-1093

NPI assigned

Oct 4, 2025

Organization subpart

No

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

Authorized official

Name

Armando Jimenez, DPTNPI 1780563940

Title

Owner

Phone

(208) 539-1093

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Armando Jimenez, DPT

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1780563940
  NPD Authorized official

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

{
    "created_epoch": "1759536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759536000000",
    "number": "1730053463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 CHENEY DR W STE 400",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 CHENEY DR W STE 400",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016098",
            "telephone_number": "208-539-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORM FIRST REHAB AND ATHLETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-04",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-539-1093",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; 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.