R. Camden Likes
Individual provider Active NPI Physical Therapy Assistant · Middleton, ID
NPI 1255280905 · NPPES record last updated Jan 26, 2026
Key facts
- NPI
- 1255280905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA-7365 (ID)
- Practice address
- 533 S Middleton Rd Ste 100
Middleton, ID 83644-6014 - Phone
- (208) 585-6566
- Fax
- (208) 585-6768
- NPI assigned
- Jan 26, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-7365 | ID | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Physical Therapy P C | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA-7365 | ID | Yes |
Addresses
Primary practice location
533 S Middleton Rd Ste 100
Middleton, ID 83644-6014
Mailing address
533 S Middleton Rd Ste 100
Middleton, ID 83644-6014
Phone (208) 585-6566
Other providers in Middleton, ID
- Bill Thomas Laitinen
- Michelle Roxann Lauber
- Lee Physical Therapy, PC
- Lin-Foo Sam Lee
- Stephanie Lee Lefavour
- Lindsey Lopez
- Maria M Luke
- Brittney D Lyskoski
- Mana Services Inc.
- Tammy M Marr
All providers in Middleton, ID · Physical Therapy Assistant in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.