NPIMap

Organization Active NPI

Pick PT Ammon LLC

Doing business as Pick PT

  • Physical Therapy Clinic/Center
  • Idaho Falls, ID
National Provider Identifier
1831972561
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PICK PT AMMON LLC
Doing business as
Pick PT
Pick PT Physical Therapy
Practice address
3155 Channing Way Ste B
Idaho Falls, ID 83404-7875
Phone
(208) 973-4170
Fax
(208) 973-4171
NPI assigned
Aug 16, 2023
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PICK PT PHYSICAL THERAPY IDAHO FALLSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Nathan Hunsaker, PHYSICAL THERAPISTNPI 1871687970
Title
Clinic Director/Owner
Phone
(208) 534-7001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

3155 Channing Way Ste B
Idaho Falls, ID 83404-7875

Mailing address

3155 Channing Way Ste B
Idaho Falls, ID 83404-7875
Phone (208) 973-4170

Other names 2

  • Pick PT Doing business as
  • Pick PT Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231120001711 ID Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577911254 Receives reassigned benefits from 4 practitioners
Practice locations: Idaho Falls, ID

National Provider Directory

National Provider Directory
Part of
Pick PT Physical Therapy Idaho Falls

Locations

3155 Channing Way
Ste D
Idaho Falls, ID 83404
Phone (208) 552-2700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1831972561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 CHANNING WAY STE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047875",
            "telephone_number": "208-973-4170",
            "fax_number": "208-973-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 CHANNING WAY STE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047875",
            "telephone_number": "208-973-4170",
            "fax_number": "208-973-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICK PT AMMON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PICK PT PHYSICAL THERAPY IDAHO FALLS",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "HUNSAKER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR/OWNER",
        "authorized_official_telephone_number": "208-534-7001",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pick PT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pick PT Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.