Individual provider Active NPI

Jonathan D Barker, DPT

  • Physical Therapist
  • Twin Falls, ID
National Provider Identifier
1619262425
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2825 Issued in ID
Practice address
1444 Falls Ave E
Twin Falls, ID 83301-3408
Phone
(208) 736-2574
Fax
(208) 736-2594
NPI assigned
Jun 9, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wright Physical Therapy Limited Partnership 52 clinicians

Practice addresses (Care Compare)

1444 Falls Ave E
Twin Falls, ID 83301-3408
Phone (208) 736-2574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110707000554 ID Practitioner - Physical Therapist in Private Practice 4284812660 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Physical Therapy Limited Partnership Physical Therapist CurrentSince Oct 1, 2019 Accepting new patients
Wright Physical Therapy Limited Partnership Physical Therapist CurrentSince Oct 1, 2019 Accepting new patients
Rehabauthority, LLC Physical Therapist PastSince Feb 4, 2015 Accepting new patients

Locations

1945 Hiland Ave
Burley, ID 83318
Phone (208) 647-0024

111 Pioneer Ct
Jerome, ID 83338
Phone (208) 944-9277

931 Center St W
#C
Kimberly, ID 83341
Phone (208) 423-9999

1024 8th St
Rupert, ID 83350
Phone (208) 436-0734

1444 Falls Ave E
Twin Falls, ID 83301
Phone (208) 736-2574

243 Cheney Dr W
Twin Falls, ID 83301
Phone (208) 329-7667

1411 Falls Ave E
Ste 401
Twin Falls, ID 83301
Phone (208) 969-9945

280 W Main St
Wendell, ID 83355
Phone (208) 536-6663

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-2825 ID Primary

Addresses

NPPES NPI Registry

Primary practice location

1444 Falls Ave E
Twin Falls, ID 83301-3408

Mailing address

1444 Falls Ave E
Twin Falls, ID 83301-3408
Phone (208) 736-2574

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 20, 2012.

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1619262425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 FALLS AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013408",
            "telephone_number": "208-736-2574",
            "fax_number": "208-736-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 FALLS AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013408",
            "telephone_number": "208-736-2574",
            "fax_number": "208-736-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.