ALTITUDE SPORT & SPINE PLLC – NPI #1992663595
Family Medicine

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Health Care Provider Taxonomy Code for Family Medicine

ALTITUDE SPORT & SPINE PLLC is a provider located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1992663595 to ALTITUDE SPORT & SPINE PLLC on January 13, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QS0010X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Sports Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALTITUDE SPORT & SPINE PLLC below.

NPI Profile for
ALTITUDE SPORT & SPINE PLLC

NPI Number
1992663595
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALTITUDE SPORT & SPINE PLLC
Primary location
1582 ELK CREEK DR
IDAHO FALLS, ID 83404-8322
Phone: (208) 213-5256 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSHUA SIRUCEK
OWNER
Phone: (208) 213-5256
Updated
Certification Date
Jan 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QS0010X
- Family Medicine / Sports Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.