Jarrod Stephen Altrogge, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-8292 Issued in ID

Practice address

1626 S Wells Ave Ste 105
Meridian, ID 83642-4528

Phone

(208) 789-0200

Fax

(208) 288-2784

NPI assigned

Aug 10, 2022

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

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 and National Provider Directory roles.

• Hands-on Physical Therapy PLLC

  • Physical Therapist
  • Boise, ID
  • NPI 1730185372

  ID, Physical Therapist

  Medicare reassignment NPD
• I Can PT LLC

  • Physical Therapist
  • Meridian, ID
  • NPI 1194129817

  ID, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1457089211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 E COPPER POINT DR UNIT 0-103",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427847",
            "telephone_number": "406-839-6988",
            "fax_number": "208-288-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 S WELLS AVE STE 105",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424528",
            "telephone_number": "208-789-0200",
            "fax_number": "208-288-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTROGGE",
        "first_name": "JARROD",
        "middle_name": "STEPHEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-8292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSES",
            "identifier": "PT-8292",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alpine Cottage Chiropractic
• Alpine Meadows Assisted Living, LLC
• Alpine Surgical Arts Meridian LLC
• Kiana Altenhofen
• Alternative Medicine and Diagnostics
• Altruistic Health PLLC
• Kayla Lynn Alvarado
• Marissa Sue Alvarado, LMT
• Adriana Amador, LPC
• Haylea Cecile Chioma Amaechi

• All providers in Meridian, ID
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.