Trevor Brice Dimond, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-3826 Issued in ID

Practice address

526 First American Cir
Rexburg, ID 83440-5400

Phone

(208) 534-7001

NPI assigned

Feb 6, 2015

Last updated

Feb 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pick PT Physical Therapy Idaho FallsGroup PAC ID 8628449899, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pick PT Physical Therapy Idaho Falls

  dba Pick PT Idaho Falls

  • Physical Therapist
  • Idaho Falls, ID
  • NPI 1366168684
  Medicare reassignment Care Compare group NPD Authorized official
• Pick PT

  • Physical Therapist
  • Rexburg, ID
  • NPI 1861977480
  Medicare reassignment NPD
• Pick PT Physical Therapy LLC

  • Physical Therapist
  • Idaho Falls, ID
  • NPI 1477183168
  Medicare reassignment NPD

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1396136743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S BONITO WAY STE 190",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425618",
            "telephone_number": "208-287-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 FIRST AMERICAN CIR",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405400",
            "telephone_number": "208-534-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 S Woodruff Ave",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834015285",
            "country_code": "US",
            "telephone_number": "208-552-5025",
            "fax_number": "208-552-5029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMOND",
        "first_name": "TREVOR",
        "middle_name": "BRICE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-06",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-3826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT-3826",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eliza Detemple
• Development Workshop, Inc. (Upper Valley Industries)
• Diamond Peak Idaho
• Sarah E. Dickey, LMSW
• Dane J Dickson, MD
• Angelina Thao Nguyen DO
• Katie J Dodge
• Laura Dolezal, CCC/SLP
• Douglas J. Smith (Dental Health Center)
• Douglas R. Schultz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.