Individual provider Active NPI

Sydney Lyn Praeger, RPT

  • Physical Therapist
  • Ketchum, ID
National Provider Identifier
1821077223
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
RPT316 Issued in ID
Practice address
180 W 1St St
#101
Ketchum, ID 83340
Phone
(208) 725-5185
Fax
(208) 725-5192
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X RPT316 ID Primary

Addresses

Primary practice location

180 W 1St St
#101
Ketchum, ID 83340

Mailing address

PO Box 2182
180 W 1St St #101
Ketchum, ID 83340-2182
Phone (208) 725-5185

Other identifiers 2

IdentifierTypeStateIssuer
T4850OtherBLUE CROSS OF ID
000010024770OtherBLUE SHIELD OF ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120620000568 ID Practitioner - Physical Therapist in Private Practice 8426035460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

180 1St St W
101 PO Box 2182
Ketchum, ID 83340-2171
Phone (208) 725-5185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RPT316IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Plus of Idaho PLLC Physical Therapist CurrentSince Jan 1, 2001 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821077223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2182",
            "address_2": "180 W 1ST ST #101",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "833402182",
            "telephone_number": "208-725-5185",
            "fax_number": "208-725-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W 1ST ST",
            "address_2": "#101",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "83340",
            "telephone_number": "208-725-5185",
            "fax_number": "208-725-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAEGER",
        "first_name": "SYDNEY",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "RPT316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ID",
            "identifier": "T4850",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF ID",
            "identifier": "000010024770",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchum, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.