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

Last updated

Aug 10, 2022By 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

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Hands-on Physical Therapy PLLC

  • Physical Therapist
  • Boise, ID
  • NPI 1730185372
  Medicare reassignment NPD
• I Can PT LLC

  dba I CAN PT Doctors of Physical Therapy

  • Physical Therapist
  • Meridian, ID
  • NPI 1194129817
  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": [],
    "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 (Altruistic Health and Wellness)
• Kayla Lynn Alvarado
• Marissa Sue Alvarado, LMT
• Adriana Amador, LPC
• Haylea Cecile Chioma Amaechi

• Physical Therapist in Meridian, ID
• Providers in Meridian, ID by specialty
• 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.