NPIMap

Organization Active NPI

High Peaks Physical Therapy P a

  • Physical Therapist
  • Driggs, ID
National Provider Identifier
1356412837
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HIGH PEAKS PHYSICAL THERAPY P A
Practice address
180 S Main St Ste C2
Driggs, ID 83422-5034
Phone
(208) 354-3128
Fax
(208) 354-3129
NPI assigned
Nov 13, 2006
Last updated
Jan 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Mrs. Jennifer Kunzman, DPTNPI 1770148280
Title
Owner
Phone
(208) 354-3128

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

180 S Main St Ste C2
Driggs, ID 83422-5034

Mailing address

PO Box 129
Driggs, ID 83422-0129
Phone (208) 354-3128

Other identifiers 1

IdentifierTypeStateIssuer
807140100MedicaidID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050317000468 ID Part B Supplier - Clinic/Group Practice 6608821194 Receives reassigned benefits from 9 practitioners
Practice locations: Driggs, ID

National Provider Directory

National Provider Directory

Locations

180 S Main St
Ste C2
Driggs, ID 83422
Phone (208) 354-3128

500 Ski Hill Rd
Driggs, ID 83422
Phone (208) 354-3128

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1356412837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834220129",
            "telephone_number": "208-354-3128",
            "fax_number": "208-354-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S MAIN ST STE C2",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225034",
            "telephone_number": "208-354-3128",
            "fax_number": "208-354-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PEAKS PHYSICAL THERAPY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "KUNZMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-354-3128",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807140100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Driggs, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.