Pick PT Physical Therapy Idaho Falls
NPI 1366168684ActiveOrganization· Physical Therapist· Idaho Falls, ID
Physical Therapist in Idaho Falls, Idaho, registered in NPPES in October 2022. The authorized official on file is Trevor Dimond, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1366168684 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2022 |
| Last updated in NPPES | Oct 18, 2022 |
| Certified by provider | Oct 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 Part B Supplier - Physical/Occupational Therapy Group in Private Practice (ID) |
|---|
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