High Desert Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5310 Issued in ID

Legal business name

HIGH DESERT PHYSICAL THERAPY LLC

Practice address

820 W. Chubbuck Rd
Chubbuck, ID 83202-2933

Phone

(208) 240-6017

NPI assigned

Jul 26, 2017

Organization subpart

No

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

Authorized official

Name

Jared Clifford Pugmire, DPTNPI 1376952713

Title

Owner/Physical Therapist

Phone

(208) 240-6017

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 4

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

• Jared C Pugmire, PT DPT

  • Physical Medicine & Rehabilitation Physician
  • Chubbuck, ID
  • NPI 1376952713

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Brandi Allerdings, PT

  • Physical Therapist
  • Chubbuck, ID
  • NPI 1558912998
  Medicare reassignment Care Compare group NPD
• Matthew James Krammen, DPT

  • Physical Therapist
  • Park City, UT
  • NPI 1700416245

  ID

  Medicare reassignment Care Compare group NPD
• William Berkeley Cleary, DPT

  • Physical Therapist
  • Murray, UT
  • NPI 1811636319

  ID

  Medicare reassignment NPD

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1427572957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W. CHUBBUCK RD",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022933",
            "telephone_number": "208-240-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W. CHUBBUCK RD",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022933",
            "telephone_number": "208-240-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "PUGMIRE",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "CLIFFORD",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "208-240-6017",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "5310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health West, Inc. (Health West Chubbuck Pharmacy 340B)
• Deborah K Henson, PHARM D
• Melissa Ann Herzog, PHARMD
• Alexandra Louise Heyneman, PHARMD
• Emma Hibler, PARAPROFESSIONAL
• Hinge Point Youth Homes LLC
• Savannah Hirsch
• John S Hochhalter, LPC
• Amy Holloway, ED.S.
• Renee Howells

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

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