Jonathan Dac-Moang Liem, DPT
NPI 1235903279ActiveIndividual· Physical Therapist· Blackfoot, ID
Physical Therapist (DPT) with Holisticare Physical Therapy, practicing in Blackfoot, Idaho. Medicare paid $39,773 for services to 75 patients in 2024.
Overview
| NPI | 1235903279 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Nov 9, 2023 |
| Last updated in NPPES | Nov 9, 2023 |
| Certified by provider | Nov 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT-8771 | 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 (HI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 75 |
|---|---|
| Services billed | 2,103 across 12 procedure codes |
| Paid by Medicare | $39,773 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Holisticare Physical TherapyHonolulu, HI · 6 clinicians
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All 28 physical therapists in Blackfoot · All physical therapists in Idaho