Stephanie Liddle, PT
NPI 1942489794ActiveIndividual· Physical Therapist· Idaho Falls, ID
Physical Therapist (PT) with Performance Therapy, LLC, practicing in Idaho Falls, Idaho. Medicare paid $21,553 for services to 57 patients in 2024.
Overview
| NPI | 1942489794 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Oct 29, 2007 |
| Last updated in NPPES | Mar 14, 2023 |
| Certified by provider | Mar 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT-954 | ID |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | AT-077 | 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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 1,282 across 12 procedure codes |
| Paid by Medicare | $21,553 |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Performance Therapy, LLCIdaho Falls, ID · 4 clinicians
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