NPIMap

Organization Active NPI

MHD Therapies, PLLC

Doing business as Rehab Specialists of Idaho

  • Physical Therapist
  • Rexburg, ID
National Provider Identifier
1316484983
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MHD THERAPIES, PLLC
Doing business as
Rehab Specialists of Idaho
Practice address
36 Professional PLZ
Ste 110
Rexburg, ID 83440-2049
Phone
(208) 359-9570
Fax
(208) 359-9580
NPI assigned
Jan 20, 2017
Last updated
Jan 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Matt Daybell, OT
Title
Owner
Phone
(208) 359-3570

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

36 Professional PLZ
Ste 110
Rexburg, ID 83440-2049

Mailing address

PO Box 711
Rexburg, ID 83440-0711
Phone (208) 359-9570

Other names 1

  • Rehab Specialists of Idaho Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170224000739 ID Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7113201831 Receives reassigned benefits from 30 practitioners
Practice locations: Ashton, ID; Island Park, ID; Rexburg, ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1316484983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834400711",
            "telephone_number": "208-359-9570",
            "fax_number": "208-359-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 PROFESSIONAL PLZ",
            "address_2": "STE 110",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402049",
            "telephone_number": "208-359-9570",
            "fax_number": "208-359-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHD THERAPIES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "DAYBELL",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-359-3570",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Specialists of Idaho",
            "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 Jan 20, 2017; 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.