Pick PT Physical Therapy Idaho Falls

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PICK PT PHYSICAL THERAPY IDAHO FALLS

Doing business as

Pick PT Idaho Falls

Practice address

921 S. Utah Ave.
Idaho Falls, ID 83402

Phone

(208) 701-2951

Fax

(208) 701-2952

NPI assigned

Oct 18, 2022

Organization subpart

No

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

Authorized official

Name

Trevor Dimond, DPTNPI 1396136743

Title

Owner

Phone

(801) 836-4420

Specialties & licenses 1

Addresses

Other names 1

• Pick PT Idaho Falls Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Pick PT Ammon LLC

  dba Pick PT

  • Physical Therapy Clinic/Center
  • Idaho Falls, ID
  • NPI 1831972561
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trevor Brice Dimond, DPT

  • Physical Therapist
  • Rexburg, ID
  • NPI 1396136743
  Medicare reassignment Care Compare group NPD Authorized official
• Timothy Salmon, PT

  • Physical Therapist
  • Idaho Falls, ID
  • NPI 1114766995
  Medicare reassignment Care Compare group NPD
• Cordell Pickering, DPT

  • Physical Therapist
  • Rexburg, ID
  • NPI 1124514286
  Medicare reassignment NPD

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1366168684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S. UTAH AVE.",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83402",
            "telephone_number": "208-701-2951",
            "fax_number": "208-701-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S. UTAH AVE.",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83402",
            "telephone_number": "208-701-2951",
            "fax_number": "208-701-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICK PT PHYSICAL THERAPY IDAHO FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "DIMOND",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-836-4420",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pick PT Idaho Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physician's Choice Cardiology, PLLC
• Physio Shop Idaho LLC
• Claudia Isabel Picazzo, AMFT
• Amber Pichinte
• Pick PT Ammon LLC (Pick PT)
• Pick PT Physical Therapy LLC
• Cody Michael Pickett, LPC
• Debra Pickett, REGISTERED DIETITIAN
• Jennifer Cox Pickett, LCSW
• Travis M Pickett, CRNA

• Physical Therapist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.