NPIMap

Organization Active NPI

PMD Therapies, PLLC

Doing business as Rexburg Rehabilitation

  • Physical Therapist
  • Rexburg, ID
National Provider Identifier
1194732214
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-1920 Issued in ID
Legal business name
PMD THERAPIES, PLLC
Doing business as
Rexburg Rehabilitation
Practice address
36 Winn Drive
Suite 100
Rexburg, ID 83440
Phone
(208) 356-0174
Fax
(208) 356-0176
NPI assigned
Aug 2, 2006
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Mr. Paul M Dye, MPT., MOTR/L., ATCNPI 1548245236
Title
Owner/Manager
Phone
(208) 356-0174

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X PT-1920 ID
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X OT-711 ID
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X AT-142 ID
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT-1920 ID Primary
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X AT-142 ID
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT-711 ID
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

36 Winn Drive
Suite 100
Rexburg, ID 83440

Mailing address

36 Winn Drive
Suite 100
Rexburg, ID 83440
Phone (208) 356-0174

Other identifiers 4

IdentifierTypeStateIssuer
887408OtherIDDMBA
TC134OtherIDBLUE CROSS CLINIC
TC142OtherIDBLUE CROSS PT
807252700MedicaidID

Other names 1

  • Rexburg Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050613001295 ID Part B Supplier - Clinic/Group Practice 7416991237 Receives reassigned benefits from 4 practitioners
Practice locations: Rexburg, ID; Terreton, ID
O20110201000877 ID DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational TherapistDME Supplier - Rehabilitation Agency 7416991237 Practice locations: Rexburg, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rexburg Rahabilitation36 Winn Dr, Rexburg, ID 83440-5277(208) 356-0174 Contracture Treatment Devices: Dynamic Splint|Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|Pneumatic Compression Devices and/or Supplies|Speech Generating Devices|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|… Accepts assignmentParticipating since Jun 16, 2005

National Provider Directory

National Provider Directory

Locations

1820 E 17th St
Ste 120
Idaho Falls, ID 83404
Phone (208) 529-3358

36 Winn Dr
#100
Rexburg, ID 83440
Phone (208) 356-0174

669 Pioneer Rd
Ste 200
Rexburg, ID 83440
Phone (208) 356-0174

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1194732214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WINN DRIVE",
            "address_2": "SUITE 100",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "83440",
            "telephone_number": "208-356-0174",
            "fax_number": "208-356-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WINN DRIVE",
            "address_2": "SUITE 100",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "83440",
            "telephone_number": "208-356-0174",
            "fax_number": "208-356-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMD THERAPIES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "DYE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "208-356-0174",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT., MOTR/L., ATC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": "PT-1920",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": "OT-711",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": "AT-142",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1920",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ID",
            "license": "AT-142",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-711",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "887408",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CLINIC",
            "identifier": "TC134",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PT",
            "identifier": "TC142",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807252700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rexburg Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rexburg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.