McDonald Rehab, PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MCDONALD REHAB, PC

Doing business as

Superior Physical Therapy

Practice address

3345 Potomac Way Ste B
Idaho Falls, ID 83404-4978

Phone

(208) 417-0090

Fax

(208) 417-0092

NPI assigned

Sep 5, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

MCDONALD REHAB, PCAs reported in NPPES

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

Authorized official

Name

Mr. Bart W McDonald, MPTNPI 1043332901

Title

Owner

Phone

(208) 233-2248

Specialties & licenses 2

Addresses

Other names 1

• Superior Physical Therapy Doing business as

Tax ID family

McDonald Rehab PC2 organizations share this tax ID, including this one

Part of

McDonald Rehab PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Superior Physical Therapy

  • Physical Therapist
  • Pocatello, ID
  • NPI 1265844062
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• McDonald Rehab, PC

  dba Superior Physical Therapy

  • Physical Therapist
  • Pocatello, ID
  • NPI 1497948509
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bart William McDonald, MPT

  • Physical Therapist
  • Pocatello, ID
  • NPI 1043332901
  NPD (past) Authorized official

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194243691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 FLANDRO DR STE 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": "3345 POTOMAC WAY STE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044978",
            "telephone_number": "208-417-0090",
            "fax_number": "208-417-0092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Flandro Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832024936",
            "country_code": "US",
            "telephone_number": "208-233-2248",
            "fax_number": "208-233-0219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Flandro Dr Ste 190",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832024940",
            "country_code": "US",
            "telephone_number": "208-233-2248",
            "fax_number": "208-233-0219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCDONALD REHAB, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCDONALD REHAB, PC",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-233-2248",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhonda Evelyn McConomy, C.M.T
• McCord Orthodontics
• Layne K McCord, D.M.D.
• Philip R McCowin, M.D.
• Matt McCoy, D.D.S., M.S.
• Chelsea Jennifer McDonald, CM
• Jill Keetch McDonald
• Elizabeth M McDowell, LCSW
• Elise Wilson McGary, PHARMD
• Kim L. McGary, RPH

• Physical Medicine & Rehabilitation Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Physical Medicine & Rehabilitation Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.