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Altitude Sport & Spine Pllc

Sports Medicine (Family Medicine) Physician in Idaho Falls, ID · enumerated 2026 · authorized official Joshua Sirucek, Owner.

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

National Provider Identifier

1992663595

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Registry record

Entity type Organization (Type 2)
Legal business name Altitude Sport & Spine Pllc
Practice address 1582 Elk Creek Dr, Idaho Falls, ID, 83404
Phone (208) 213-5256
Enumeration date Jan 13, 2026
Last updated in NPPES Jan 13, 2026

Taxonomy & classification

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Joshua Sirucek
Title Owner
Phone (208) 213-5256

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.

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Frequently asked questions

What type of organization is Altitude Sport & Spine Pllc?
Altitude Sport & Spine Pllc is registered in NPPES as a Sports Medicine (Family Medicine) Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-13.