Rehab Systems Boise LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

REHAB SYSTEMS BOISE LLC

Practice address

427 N Curtis Rd
Boise, ID 83706-1439

Phone

(208) 342-4104

Fax

(208) 342-4106

NPI assigned

Jul 12, 2005

Organization subpart

No

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 1

Addresses

Other identifiers 3

Other names 1

• Coyote Prosthetics & Orthotics Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1912905100",
    "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": "427 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061439",
            "telephone_number": "208-342-4104",
            "fax_number": "208-342-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB SYSTEMS BOISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "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": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IDAHO",
            "identifier": "000010147985",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "8J604",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002728201",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coyote Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Refresh Yourself LLC
• Adrianna Regalado, LMT
• Regency Columbia Village, LLC
• Shawna Michelle Reger, RN MSN
• Jessica Regnier, ATC
• Jackie Lynn Rehnstrom, LPN
• London Reiber, PHARM. D.
• Carmen Marie Reid, DPT
• Collin Reid
• Jessica L Reid, CRNA

• Prosthetic/Orthotic Supplier in Boise, ID
• Providers in Boise, ID by specialty
• Prosthetic/Orthotic Supplier in Idaho

• 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.