Jared L McKee, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2552 Issued in ID

Practice address

265 E Chubbuck Road
Ste a
Chubbuck, ID 83202-5055

Phone

(208) 417-0011

Fax

(888) 437-2431

NPI assigned

Jul 28, 2009

Last updated

May 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Custom Rehab LLCGroup PAC ID 4385811454, 6 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Custom Rehab LLC

  • Physical Therapist
  • Chubbuck, ID
  • NPI 1215204862
  Medicare reassignment Care Compare group NPD Authorized official
• Center for Orthopedic Rehabilitation

  • Physical Therapist
  • Pocatello, ID
  • NPI 1801944400
  NPD (past)
• Northrup Physical Therapy, PC

  • Physical Therapist
  • Chubbuck, ID
  • NPI 1629146857
  NPD (past)
• Rocky Mountain Physical Therapy PLLC

  • Physical Therapist
  • Blackfoot, ID
  • NPI 1538172648
  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1649401407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E CHUBBUCK ROAD",
            "address_2": "STE A",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025055",
            "telephone_number": "208-417-0011",
            "fax_number": "888-437-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E CHUBBUCK ROAD",
            "address_2": "STE A",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025055",
            "telephone_number": "208-417-0011",
            "fax_number": "888-437-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "JARED",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa McBeth
• Ellie McBride, PARAPROFESSIONAL
• Adam McCain, PARAPROFESSIONAL
• Ryan T McCulloch, PA
• David Jim McGregor, NP
• Steve J McKee, LCSW
• William L McKee, LCPC
• Amy Louise McKinlay, PA-C
• Rhett M McKinlay, LPC
• Valerie McKinley, PHARMD

• 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 May 25, 2023; 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.