High Desert Physical Therapy LLC
NPI 1427572957ActiveOrganization· Physical Therapist· Chubbuck, ID
Physical Therapist in Chubbuck, Idaho, registered in NPPES in July 2017. The authorized official on file is Jared Clifford Pugmire, DPT, Owner/Physical Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1427572957 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 26, 2017 |
| Last updated in NPPES | Jun 7, 2022 |
| Certified by provider | Jun 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5310 | 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 Part B Supplier - Clinic/Group Practice (ID) |
|---|
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