Proactive Physical Therapy PC
Proactive Physical Therapy PC is a healthcare organization registered as Physical Therapist in Burley, ID, holding Type 2 (organization) NPI 1609093434 since 2007. The authorized official on file is Raulan Young, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1609093434 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Proactive Physical Therapy PC |
| Practice address | 2311 PARK AVE, SUITE 2, Burley, ID, 83318 |
| Phone | 2086772489 |
| Fax | 2086774023 |
| Enumeration date | 2007-04-20 |
| Last updated in NPPES | 2010-10-13 |
Authorized official
| Name | Raulan Young |
|---|---|
| Title | President |
| Phone | 2086772489 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | PT1299 | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805407300 | Medicaid | ID | — |
Copy-ready billing details
Provider: Proactive Physical Therapy PC NPI: 1609093434 Taxonomy: 225100000X (Physical Therapist) Address: 2311 PARK AVE, SUITE 2, Burley, ID, 83318
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1841307188 | A Plus Solutions | Organization | Marriage & Family Therapist | Burley, ID |
| 1013064351 | Pathways, Inc | Organization | Marriage & Family Therapist | Burley, ID |
| 1225156250 | A Plus Solutions, LLC | Organization | Developmental Therapist | Burley, ID |
| 1043338072 | A Plus Soluitons, LLC | Organization | Rehabilitation Counselor | Burley, ID |
| 1669590691 | A Plus Solutions | Organization | Rehabilitation Counselor | Burley, ID |
| 1578681508 | A Plus Solutions, LLC | Organization | Clinical Social Worker | Burley, ID |
| 1104949700 | Janet Loveland | Individual | Mental Health Counselor | Burley, ID |
| 1407035959 | Susan Koepnick | Individual | Counselor | Burley, ID |
Verify this record
Cross-check NPI 1609093434 against the authoritative CMS record: view Proactive Physical Therapy PC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Where is Proactive Physical Therapy PC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2010-10-13.