# BEYOND REHAB

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Neuro Clinic Idaho
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083439251
- **Authorized official:** ARIEL PODJUN OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (307) 389-7509

## Contact information

- **Practice address:** 10122 IRONGATE DR, NAMPA, ID 83687-7920
- **Practice address phone:** (307) 389-7509
- **Mailing address:** 10122 IRONGATE DR, NAMPA, ID 83687-7920
- **Mailing address phone:** (307) 389-7509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2251N0400X | Neurology Physical Therapist | — | NULL | — |
| 2251N0400X | Neurology Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 225XN1300X | Neurorehabilitation Occupational Therapist | — | NULL | Yes |
| 225XN1300X | Neurorehabilitation Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 11/21/2024
- **Last updated:** 11/24/2024