Individual provider Active NPI

Victoria Zumberge Cain, PT, CWS

  • Physical Therapist
  • Idaho Falls, ID
National Provider Identifier
1265635684
Registry record updated Mar 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-4034 Issued in ID
Practice address
3715 Woodking Dr
Idaho Falls, ID 83404-4720
Phone
(208) 529-2255
Fax
(208) 529-2022
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 1171893 TX
Pediatric Physical Therapist 2251P0200X 2568 AK
Physical Therapist 225100000X PT-4034 ID Primary

Addresses

Primary practice location

3715 Woodking Dr
Idaho Falls, ID 83404-4720

Mailing address

3715 Woodking Dr
Idaho Falls, ID 83404-4720
Phone (208) 529-2255

Other practice location 1

9107 United Kingdom Dr
Austin, TX 78748-6475
Phone (512) 659-7614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331001947 ID Practitioner - Physical Therapist in Private Practice 6608399662 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-4034IDMDPhysical Therapist
2568AKMDPediatric Physical Therapist
1171893TXMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Rehabilitation & Performance Services, PLLC Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients

Locations

3715 Woodking Dr
Idaho Falls, ID 83404
Phone (208) 529-2255

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742688000000",
    "number": "1265635684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 WOODKING DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044720",
            "telephone_number": "208-529-2255",
            "fax_number": "208-529-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 WOODKING DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044720",
            "telephone_number": "208-529-2255",
            "fax_number": "208-529-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9107 United Kingdom Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787486475",
            "country_code": "US",
            "telephone_number": "512-659-7614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAIN",
        "first_name": "VICTORIA",
        "middle_name": "ZUMBERGE",
        "name_prefix": "Mrs.",
        "credential": "PT, CWS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2025-03-23",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1171893",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AK",
            "license": "2568",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-4034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.