Individual provider Active NPI

Daniel N Streubel, MPT

  • Physical Therapist
  • Driggs, ID
National Provider Identifier
1063542504
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
RPT937 Issued in ID
Practice address
285 E Little Ave
Driggs, ID 83422-5137
Phone
(208) 354-1999
Fax
(866) 875-1249
NPI assigned
Mar 6, 2007
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X RPT937 ID Primary

Addresses

Primary practice location

285 E Little Ave
Driggs, ID 83422-5137

Mailing address

1479 Table Rock Dr
Driggs, ID 83422-5292
Phone (208) 354-1999

Other identifiers 3

IdentifierTypeStateIssuer
000010159590OtherIDBLUE SHIELD IDAHO
004405500MedicaidID
TD563OtherIDBLUE CROSS IDAHO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050324000852 ID Practitioner - Physical Therapist in Private Practice 0840246674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teton Valley Health Care IncGroup PAC ID 3870744956, 31 clinicians

Practice addresses (Care Compare)

285 E Little Ave
Driggs, ID 83422-5137
Phone (208) 354-2383

Merit-based Incentive Payment System (MIPS)

Final score
77.6 of 100Reported as individual
Quality
60.36
Improvement activities
40
Cost
78.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RPT937IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Valley Health Care Inc CurrentSince Aug 22, 2025 Accepting new patients
Teton Valley Health Care, Inc CurrentSince Aug 22, 2025 Accepting new patients
Teton Valley Health Care Inc Current Accepting new patients
Streubel Therapy Services Past Accepting new patients
High Peaks Physical Therapy P a Physical Therapist PastSince Sep 6, 2015 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients

Locations

120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302

283 N 1st St
Driggs, ID 83422
Phone (208) 354-2302

285 E Little Ave
Driggs, ID 83422
Phone (208) 354-1999

Interoperability endpoints

  • Direct secure messaging: dan.streubel.1@15468.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1063542504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 TABLE ROCK DR",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225292",
            "telephone_number": "208-354-1999",
            "fax_number": "208-354-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E LITTLE AVE",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225137",
            "telephone_number": "208-354-1999",
            "fax_number": "866-875-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREUBEL",
        "first_name": "DANIEL",
        "middle_name": "N",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "RPT937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD IDAHO",
            "identifier": "000010159590",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004405500",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IDAHO",
            "identifier": "TD563",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Driggs, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.