Individual provider Active NPI

Kiana Altenhofen

  • Physical Therapist
  • Meridian, ID
National Provider Identifier
1831980317
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8971555 Issued in ID
Practice address
1256 S Rackham Way
Meridian, ID 83642-8816
Phone
(208) 884-4647
NPI assigned
May 14, 2025
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 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 8971555 ID Primary

Addresses

Primary practice location

1256 S Rackham Way
Meridian, ID 83642-8816

Mailing address

4721 N Tattenham Way
Boise, ID 83713-2529
Phone (208) 939-0533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250527003405 ID Practitioner - Physical Therapist in Private Practice 6103345772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills Physical Therapy PAGroup PAC ID 9931010014, 28 clinicians

Practice addresses (Care Compare)

1256 S Rackham Way
Suite 110
Meridian, ID 83642-1091
Phone (208) 884-4647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8971555IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
ZRJ Inc Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
Foothills Physical Therapy PA CurrentSince Feb 19, 2026 Accepting new patients

Locations

12072 W McMillan Rd
Boise, ID 83713
Phone (208) 939-0533

3040 N Five Mile Rd
Boise, ID 83713
Phone (208) 252-6531

1256 S Rackham Way
Ste 110
Meridian, ID 83642
Phone (208) 939-9594

904 S Vanguard Way
#110
Meridian, ID 83642
Phone (208) 803-6767

Organizations & group practices 2

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": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1831980317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 N TATTENHAM WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132529",
            "telephone_number": "208-939-0533",
            "fax_number": "208-939-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 S RACKHAM WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428816",
            "telephone_number": "208-884-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTENHOFEN",
        "first_name": "KIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "8971555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 25, 2026; 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.