Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Idaho Pediatric Therapy Clinic Pllc

Physical Therapist in Meridian, ID · enumerated 2014 · authorized official Jennifer Longoria, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194125617

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Registry record

Entity type Organization (Type 2)

Legal business name Idaho Pediatric Therapy Clinic Pllc

Practice address 3080 E Gentry Way Ste 180, Meridian, ID, 83642

Phone (208) 939-3334

Fax (208) 939-1122

Enumeration date Sep 3, 2014

Last updated in NPPES Jul 9, 2019

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT-1450 (ID) Primary

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License OT-928 (ID) Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License SLP-2249 (ID) Secondary

Authorized official

Name Jennifer Longoria

Title Office Manager

Phone (208) 939-3334

Other identifiers

Identifier	Type	State	Issuer
1194125617	Medicaid	ID	-
1013086610	Medicaid	ID	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-07-09. Verify at npiregistry.cms.hhs.gov.

Where is Idaho Pediatric Therapy Clinic Pllc located?

The practice location on file with NPPES is in Meridian, ID.

Providers at this address

Browse all →

Laura Brunello Pediatric Occupational Therapist · Meridian, ID NPI 1124634266 Lucas Keller Pediatric Physical Therapist · Meridian, ID NPI 1588230429 Hannah Cummings Speech-Language Pathologist · Meridian, ID NPI 1760210405 Treasure Valley Return To Work LLC Physical Medicine & Rehabilitation Physician · Meridian, ID NPI 1619796661

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-07-09.