Gregory William Hyde, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-4375 Issued in ID

Practice address

164 S 5TH St
Montpelier, ID 83254-1597

Phone

(208) 847-4417

NPI assigned

Jan 31, 2024

Last updated

Jan 31, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in ID, UT2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empower PT, PLLCGroup PAC ID 2365851540, 3 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.

• Empower PT, PLLC

  • Orthopedic Physical Therapist
  • Idaho Falls, ID
  • NPI 1538763370
  Medicare reassignment Care Compare group NPD
• Bear Lake County Memorial Hospital

  dba BLMH Bear Lake Clinic

  • Multi-Specialty Clinic/Center
  • Garden City, UT
  • NPI 1538916333

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1073376323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 S 5TH ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541597",
            "telephone_number": "208-847-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 S 5TH ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541597",
            "telephone_number": "208-847-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "GREGORY",
        "middle_name": "WILLIAM",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-4375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health West, Inc. (Health West Montpelier Pharmacy - Retail)
• Health West, Inc. (Health West Montpelier)
• Brandon J. Henscheid, PSY.D.
• Casey Humpherys
• Ory Brad Hutchison, PHARMD
• Flint Dean Jacobson, NP
• Trevor Dean Jacobson, M.D.
• Marilee Johnson, MRC, LPC
• Joseph F Decker Professional Corp
• Josh Bowman DC PLLC (Bowman Chiropractic)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.