- Medicare Physical Therapist in Pocatello, ID

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is a medicare enrolled "Physical Therapist" provider in Pocatello, Idaho. Their current practice location is 1800 Flandro Dr, Suite 190, Pocatello, Idaho. You can reach out to their office (for appointments etc.) via phone at (208) 233-2248.

is licensed to practice in Idaho (license number PT-1555) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1497948509.

Contact Information

1800 Flandro Dr, Suite 190,
Pocatello, ID 83202-4940
(208) 233-2248
(208) 233-0219

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityPhysical Therapist
Location1800 Flandro Dr, Pocatello, Idaho
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497948509
  • Provider Enumeration Date: 08/22/2007
  • Last Update Date: 09/10/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2163505603
  • Enrollment ID: O20080207000254

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497948509NPI-NPPES
7869690OtherKYAETNA
807980200MedicaidID
P00320548OtherIDBLUE SHIELD MEDICARE ADVA
T9345OtherIDBCID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT-1555 (Idaho)Primary
225X00000XOccupational Therapist OT-884 (Idaho)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameBart W Mcdonald
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043332901
PECOS PAC ID: 3274593108
Enrollment ID: I20050809000678
Provider NameZachary Daniels
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841595923
PECOS PAC ID: 6305023870
Enrollment ID: I20110609000463
Provider NameBarrett J Gibson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134481138
PECOS PAC ID: 6800043241
Enrollment ID: I20120821000001
Provider NameEmilie L Peterson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588065882
PECOS PAC ID: 0749408615
Enrollment ID: I20140908000164
Provider NameAndrew Blake Goode
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447698113
PECOS PAC ID: 8921319815
Enrollment ID: I20150618001796
Provider NameMelissa Arrington
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912225335
PECOS PAC ID: 9133431810
Enrollment ID: I20150709000537
Provider NameCandice Laree Tovey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194130856
PECOS PAC ID: 8325355050
Enrollment ID: I20150914001404
Provider NameJoshua Paul Strait
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063869816
PECOS PAC ID: 7719279074
Enrollment ID: I20160706001493
Provider NameRyker Nelson Spackman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942704846
PECOS PAC ID: 3971866575
Enrollment ID: I20180412002344
Provider NameJessica Annelaine Vandyke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104394659
PECOS PAC ID: 9931448305
Enrollment ID: I20190301000069
Provider NameBrett S Bennett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093271355
PECOS PAC ID: 5092058396
Enrollment ID: I20190529001960
Provider NameJonathan Hancock Goodman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093371031
PECOS PAC ID: 6406181858
Enrollment ID: I20190708002760
Provider NameCarolyn Frances Weber
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336795673
PECOS PAC ID: 5597095257
Enrollment ID: I20190923001382
Provider NameKyle David Arthur Cook
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730723719
PECOS PAC ID: 6002239217
Enrollment ID: I20200707001375
Provider NameWalter Jordan Wickham
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346843802
PECOS PAC ID: 2163834409
Enrollment ID: I20201210002075
Provider NameDallin Robert Leifson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972171114
PECOS PAC ID: 2264836899
Enrollment ID: I20210804002349
Provider NameJoseph Peter Jannuzzi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053756882
PECOS PAC ID: 3779989140
Enrollment ID: I20210909003427
Provider NameKelly Rojek
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144847203
PECOS PAC ID: 9436576741
Enrollment ID: I20220414001740
Provider NameTimothy Lee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134857519
PECOS PAC ID: 2769866037
Enrollment ID: I20220906001176
Provider NameJesse Robert Peterson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104571256
PECOS PAC ID: 3072909134
Enrollment ID: I20220926002029
Provider NameLloyd Keith Schempp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700921087
PECOS PAC ID: 5991809105
Enrollment ID: I20230711001219
Provider NameTyler Ross Cannon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275288821
PECOS PAC ID: 3577927615
Enrollment ID: I20230907004539
Provider NameRyan Lavon Pope
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790257293
PECOS PAC ID: 4880023704
Enrollment ID: I20240314000002
Provider NameMatthew Paul Wright
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194570051
PECOS PAC ID: 6305382110
Enrollment ID: I20240729000679
Provider NameDaniel Stark Russon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962242669
PECOS PAC ID: 0749727121
Enrollment ID: I20240802001270
Provider NameRiley Alen Grube
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972337426
PECOS PAC ID: 2163954629
Enrollment ID: I20241022002996

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1800 Flandro Dr, Suite 190,
Pocatello, ID 83202-4940

Ph: (208) 233-2248
1800 Flandro Dr, Suite 190,
Pocatello, ID 83202-4940

Ph: (208) 233-2248

Reviews and Comments


Physical Therapist in Pocatello, ID

Dr. Jared Denor Lundquist, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2450 Skylar Pl, Pocatello, ID 83201
Phone: 435-339-9058    
Bart William Mcdonald, MPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Flandro Dr, 190, Pocatello, ID 83202
Phone: 208-233-2248    Fax: 208-233-0219
Mr. Trent Jackman, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: Garrison Bldg 63, Room 202, Stop 8045, Pocatello, ID 83209
Phone: 208-282-3065    
Laura M Sprague, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 285 Vista Dr, Suite A, Pocatello, ID 83201
Phone: 208-478-1488    Fax: 208-478-1498
Mr. Joshua Strait, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Flandro Dr Ste 190, Pocatello, ID 83202
Phone: 208-233-2248    Fax: 208-233-0219
Kaitlin Bailey Livesay Vail,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 921 S 8th Ave Stop 8045, Pocatello, ID 83201
Phone: 208-282-4095    
Streamline Sports Physical Therapy Pc
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 335 E Lewis St Ste 10, Pocatello, ID 83201
Phone: 208-269-2360    Fax: 208-550-3256

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.