Bart William McDonald, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1555 Issued in ID

Practice address

1800 Flandro Dr
190
Pocatello, ID 83202-4940

Phone

(208) 233-2248

Fax

(208) 233-0219

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Foot and Ankle PCGroup PAC ID 9133031578, 2 clinicians

Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 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 and National Provider Directory roles.

• McDonald Rehab, PC

  • Physical Therapist
  • Pocatello, ID
  • NPI 1497948509
  Medicare reassignment NPD Authorized official
• Valley Foot & Ankle, PC

  • Podiatrist
  • Pocatello, ID
  • NPI 1790864619
  Medicare reassignment Care Compare group NPD
• Mountain Land Rehabilitation LLC

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1265549372

  ID

  Medicare reassignment Care Compare group NPD
• Hands on Diagnostics of Idaho, PLLC

  • Multi-Specialty Clinic/Center
  • Pocatello, ID
  • NPI 1013423482
  NPD Authorized official
• McDonald Rehab, PC

  • Physical Medicine & Rehabilitation Physician
  • Idaho Falls, ID
  • NPI 1194243691

  Physical Therapist

  NPD (past) Authorized official
• Aspen Physical Therapy LLP

  • Physical Therapist
  • Pocatello, ID
  • NPI 1174699342
  NPD (past)
• Superior Physical Therapy

  • Physical Therapist
  • Pocatello, ID
  • NPI 1265844062
  NPD (past)
• Valley Foot & Ankle, PC

  • Podiatrist
  • Pocatello, ID
  • NPI 1669516738
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1043332901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 FLANDRO DR",
            "address_2": "190",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832024940",
            "telephone_number": "208-233-2248",
            "fax_number": "208-233-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 FLANDRO DR",
            "address_2": "190",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832024940",
            "telephone_number": "208-233-2248",
            "fax_number": "208-233-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "BART",
        "middle_name": "WILLIAM",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5744703",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "PT1555",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807400900",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD MEDICARE ADV",
            "identifier": "P00320548",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCID",
            "identifier": "TD646",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon Ralph McCrae, PHARMD
• Austin McCullough, DDS
• Cory Lee Edward McCullough
• Angie M McCurdy, AUDIOLOGIST
• McDonald Rehab, PC
• David M. McDonald, PA-C
• Kraig C McGee, MD
• Leslie Jean McGovern, PA-C, MHE, ATC, LAT
• Michael T McHugh, DDS
• Alison Marie McInturff, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.