Joel Cruz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-7250 Issued in ID

Practice address

186 W Pine St
Shelley, ID 83274-1235

Phone

(208) 680-4787

NPI assigned

Oct 16, 2018

Last updated

Apr 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cruz Therapy ServicesGroup PAC ID 9133593106, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cruz Therapy Services

  dba Shelley Physical Therapy & Fitness Center

  • Physical Therapist
  • Shelley, ID
  • NPI 1063126209
  Medicare reassignment Care Compare group NPD Authorized official
• Rocky Mountain Physical Therapy PLLC

  • Physical Therapist
  • Blackfoot, ID
  • NPI 1538172648
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1003382276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GRANT ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212119",
            "telephone_number": "208-680-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 W PINE ST",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832741235",
            "telephone_number": "208-680-4787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "Blackfoot",
            "state": "ID",
            "postal_code": "832211667",
            "country_code": "US",
            "telephone_number": "208-785-3446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1957 Alvin Ricken Dr",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832012727",
            "country_code": "US",
            "telephone_number": "208-235-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JOEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-7250",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "PTA-4520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Magdalena Camacho, LCSW
• Alexis Carlson
• Curtis W Carpenter, D.D.S.
• Kristee K. Criddle, LISW
• Cruz Therapy Services (Shelley Physical Therapy & Fitness Center)
• Shane Darnell
• Michelyn Devine, PSY.D.
• Dr Steven F Nielsen DDS PA (River Valley Dental Care)
• Elevated Life Family Chiropractic PLLC (Elevated Life Family Chiropractic)
• Kiva Louise Felgenhauer, RN

• Physical Therapist in Shelley, ID
• Providers in Shelley, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.