| Jessica Annelaine Vandyke, DPT | |
|
282 W Bridge St, Blackfoot, ID 83221 | |
| (208) 684-0021 | |
| Not Available |
| Full Name | Jessica Annelaine Vandyke |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 282 W Bridge St, Blackfoot, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104394659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-5957 (Idaho) | Primary |
| Provider Name | Mcdonald Rehab, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497948509 PECOS PAC ID: 2163505603 Enrollment ID: O20080207000254 |
| Provider Name | Barnes Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548524440 PECOS PAC ID: 5092964809 Enrollment ID: O20121010000410 |
| Provider Name | Prime Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1851051718 PECOS PAC ID: 1153717418 Enrollment ID: O20220413002146 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Annelaine Vandyke, DPT 1800 Flandro Dr Ste 190, Pocatello, ID 83202-4940 Ph: (208) 233-2248 | Jessica Annelaine Vandyke, DPT 282 W Bridge St, Blackfoot, ID 83221 Ph: (208) 684-0021 |
Tyce Alden Stewart, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123 Fax: 208-782-1885 | |
Bryan J. Gibby, MSPT, CWS Physical Therapist Medicare: Medicare Enrolled Practice Location: 1492 Christensen Dr, Blackfoot, ID 83221 Phone: 208-240-7221 | |
Brian Don Boehme, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
Pete Richar Johnson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 131 N Oak St, Blackfoot, ID 83221 Phone: 208-684-2444 | |
Mr. Dustin Cade Schmitt, MPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123 | |
Jonathan Dac-moang Liem, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1441 Parkway Dr Ste 1, Blackfoot, ID 83221 Phone: 208-785-3446 Fax: 208-980-7241 |