Brenda Kay Jerald, DPT
NPI 1679853501ActiveIndividual· Physical Therapist· Ponderay, ID
Physical Therapist (DPT) in Ponderay, Idaho, trained at Mayo Medical School (class of 2011). Medicare paid $89,596 for services to 263 patients in 2024.
Overview
| NPI | 1679853501 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Aug 23, 2011 |
| Last updated in NPPES | May 4, 2026 |
| Certified by provider | May 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT-2889 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 263 |
|---|---|
| Services billed | 4,969 across 16 procedure codes |
| Paid by Medicare | $89,596 |
Education and affiliations
| Medical school | Mayo Medical School |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Physical Therapist In Private Practice |
| Telehealth | Offers telehealth |
Medical group
- Shellman Inc PAHayden, ID · 41 clinicians
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