Cordell Pickering, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5542 Issued in ID

Practice address

526 First American Cir Ste B
Rexburg, ID 83440-5400

Phone

(208) 534-7001

NPI assigned

Jul 2, 2018

Sex

Male

Sole proprietor

No

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

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pick PTGroup PAC ID 5496092702, 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 and National Provider Directory roles.

• Pick PT

  • Physical Therapist
  • Rexburg, ID
  • NPI 1861977480
  Medicare reassignment Care Compare group NPD Authorized official
• Pick PT Physical Therapy LLC

  • Physical Therapist
  • Idaho Falls, ID
  • NPI 1477183168
  Medicare reassignment NPD Authorized official
• Pick PT Ammon LLC

  • Physical Therapy Clinic/Center
  • Idaho Falls, ID
  • NPI 1831972561

  Physical Therapist

  Medicare reassignment NPD
• Pick PT Physical Therapy Idaho Falls

  • Physical Therapist
  • Idaho Falls, ID
  • NPI 1366168684
  Medicare reassignment NPD
• Pick PT Physical Therapy Rigby

  • Physical Therapist
  • Rigby, ID
  • NPI 1417613571
  Medicare reassignment NPD
• Spring Creek Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rigby, ID
  • NPI 1154135465
  NPD
• Rehabauthority, LLC

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1730159690

  Physical Therapist

  NPD
• Ellis Physical Therapy and Associates LLC

  • Physical Therapy Clinic/Center
  • Idaho Falls, ID
  • NPI 1821628645

  Physical Therapist

  NPD (past)
• Ellis Physical Therapy P a

  • Physical Therapist
  • Idaho Falls, ID
  • NPI 1518203249
  NPD (past)

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1124514286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S BONITO WAY STE 190",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425618",
            "telephone_number": "208-287-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 FIRST AMERICAN CIR STE B",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405400",
            "telephone_number": "208-534-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 S Woodruff Ave",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834048310",
            "country_code": "US",
            "telephone_number": "208-523-8879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKERING",
        "first_name": "CORDELL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT5542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry John Peterson, D.O.
• Danielle Nicole Peterson, LMSW-41574
• Holly Suzanne Peterson, PA-C
• Leland Phelps, D.C.
• Pick PT
• Peter Pieper
• Steven Craig Pierce, PA-C
• PMD Therapies, PLLC
• Heather L Pocock, LCSW
• Von Poll

• Physical Therapist in Rexburg, ID
• Providers in Rexburg, 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 1, 2023; 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.