Jeremiah Kirtland Yates, DPT
NPI 1083815757ActiveIndividual· Physical Therapist· Gooding, ID
Physical Therapist (DPT) with North Canyon Medical Center Inc, practicing in Gooding, Idaho. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1083815757 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | May 30, 2007 |
| Last updated in NPPES | Dec 8, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT-1973 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (ID) |
|---|
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- North Canyon Medical Center IncGooding, ID · 74 clinicians
Other Physical Therapist providers in Gooding
- 1811951841
- 1942689088
- 1821321092
- 1033329206
- 1548226020