Brenda Kay Jerald, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2889 Issued in ID

Practice address

30544 Highway 200 Ste 326
Ponderay, ID 83852-5042

Phone

(208) 205-9559

NPI assigned

Aug 23, 2011

Sex

Female

Sole proprietor

No

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.

• Shellman Inc PA

  • Physical Therapist
  • Coeur D Alene, ID
  • NPI 1326050253

  ID

  Medicare reassignment Care Compare group
• Kauai in-Home Therapy LLC

  • Physical Therapy Clinic/Center
  • Ponderay, ID
  • NPI 1235649625
  NPD
• Porto Uniao, Inc

  • Community/Behavioral Health Agency
  • Coeur D Alene, ID
  • NPI 1972774602
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Mayo Medical School, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shellman Inc PA 45 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.38 of 100Reported as individual

Quality

80.77

Improvement activities

40

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

• Brenda Kay Mitchell Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2026.

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1679853501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 N LAKEWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30544 HIGHWAY 200 STE 326",
            "city": "PONDERAY",
            "state": "ID",
            "postal_code": "838525042",
            "telephone_number": "208-205-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERALD",
        "first_name": "BRENDA",
        "middle_name": "KAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "MITCHELL",
            "middle_name": "KAY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Idaho Dept of Health & Welfare Reg 1 Amh Clinic Sandpoint
• Inland Northwest Renal Care Group, LLC
• Innovative Anesthesia
• Inspire Change Therapeutic Services PLLC
• Daniel Grant Freeman Jefferies, DMD
• Jesstherapy PLLC
• Kauai in-Home Therapy LLC
• Kids in Motion Physical Therapy, PC
• Knopp Anesthesia Services LLC
• Paul Erwin Koch, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.