Jason Ray Hyde, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1987 Issued in ID

Practice address

725 Jensen Grove Dr
Suite 4
Blackfoot, ID 83221-1636

Phone

(208) 227-6255

NPI assigned

Apr 15, 2010

Last updated

Mar 21, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Hyde Physical Therapy

  • Physical Therapy Clinic/Center
  • Blackfoot, ID
  • NPI 1700128337

  Physical Therapist

  NPD (past) Authorized official
• Hyde Physical Therapy

  • Physical Therapist
  • Blackfoot, ID
  • NPI 1831527225
  Authorized official Same address or phone

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1700102662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832210730",
            "telephone_number": "208-227-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 JENSEN GROVE DR",
            "address_2": "SUITE 4",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211636",
            "telephone_number": "208-227-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "JASON",
        "middle_name": "RAY",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Hrabik, FNP-C
• Steven Wayne Hulse, DC
• Ryan B Hurst, DPT
• Hyde Physical Therapy
• Hyde Physical Therapy
• Tresa Hyde, MSW, LCSW
• Idaho Dept of Health & Welfare Reg 6 CMH BF C
• Idaho Dept of Health & Welfare Reg 7 Amh BF
• Idaho Dept of Health & Welfare Reg 7 CMH P C
• Idaho Express Transportation LLC

• Physical Therapist in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.