Active NPI
Jody Boyd Rawlings, P. T.
- Physical Therapist
- Rexburg, ID
National Provider Identifier
1497897458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1346
- Practice address
- 217 N 2ND East
Rexburg, ID 83440-1621 - Phone
- (208) 359-6127
- Fax
- (208) 359-9479
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1346 | ID | Primary |
Addresses
Primary practice location
217 N 2ND East
Rexburg, ID 83440-1621
Mailing address
217 N 2ND E
Rexburg, ID 83440-1621
Phone (208) 359-6127
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010020600 | Other | ID | REGENCE BLUE SHIELD |
| 185556100 | Other | U.S. DEPT OF LABOR | |
| T3860 | Other | ID | BLUE CROSS |
| 650015362 | Other | RAILROAD MEDICARE | |
| 805399800 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040427000919 | ID | Practitioner - Physical Therapist in Private Practice | 2567459167 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Spine and Sport Pysical Therapy PC
Practice addresses (Care Compare)
217 N 2ND
Rexburg, ID 83440-1621
Phone (208) 359-6127
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1346 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine and Sport Pysical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Mellor Chiropractic Clinic P.a. | Past | Accepting new patients |
Locations
217 N 2nd E
Rexburg, ID 83440
Phone (208) 359-6127
Organizations & group practices 2
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.
-
- Physical Therapist
- Rexburg, ID
- NPI 1992975825
ID, Physical Therapist
-
- Physical Disabilities Residential Treatment Facility
- Rexburg, ID
- NPI 1871602987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766102400000",
"number": "1497897458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 N 2ND E",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401621",
"telephone_number": "208-359-6127",
"fax_number": "208-359-9479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 N 2ND EAST",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401621",
"telephone_number": "208-359-6127",
"fax_number": "208-359-9479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWLINGS",
"first_name": "JODY",
"middle_name": "BOYD",
"credential": "P. T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT1346",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "000010020600",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U.S. DEPT OF LABOR",
"identifier": "185556100",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "T3860",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "650015362",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805399800",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.