Cordell Pickering, DPT | |
526 First American Cir Ste B, Rexburg, ID 83440-5400 | |
(208) 534-7001 | |
Not Available |
Full Name | Cordell Pickering |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 526 First American Cir Ste B, Rexburg, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124514286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT5542 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pick Pt Physical Therapy Llc | 1850713884 | 2 |
Pick Pt | 5496092702 | 2 |
Provider Name | Pick Pt |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861977480 PECOS PAC ID: 5496092702 Enrollment ID: O20190124001856 |
Provider Name | Pick Pt Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477183168 PECOS PAC ID: 1850713884 Enrollment ID: O20200622001050 |
Mailing Address | Practice Location Address |
---|---|
Cordell Pickering, DPT 1940 S Bonito Way Ste 190, Meridian, ID 83642-5618 Ph: (208) 287-9420 | Cordell Pickering, DPT 526 First American Cir Ste B, Rexburg, ID 83440-5400 Ph: (208) 534-7001 |
Jakob Carstens, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502 | |
Clark Dabell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502 | |
Cody Lane Castellaw, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-359-9570 | |
Anthony Humphries, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502 | |
Morgan Jesse Ricks, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 36 Winn Dr Ste 100, Rexburg, ID 83440 Phone: 208-356-0174 Fax: 208-356-0176 | |
George Garald Griffeth, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6532 |