Individual provider Active NPI

Rayse Loyd Knight Sickinger, DPT

  • Physical Therapist
  • Idaho Falls, ID
National Provider Identifier
1851101018
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5371547 Issued in ID
Practice address
1539 E Piper St
Idaho Falls, ID 83401-1467
Phone
(208) 716-8988
NPI assigned
Jan 9, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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 5371547 ID Primary

Addresses

Primary practice location

1539 E Piper St
Idaho Falls, ID 83401-1467

Mailing address

3707 E Leihm LN
Idaho Falls, ID 83401-3658
Phone (208) 716-8988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250430003642 ID Practitioner - Physical Therapist in Private Practice 4880110998 Practice locations: Idaho Falls, ID

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Conquer Physical Therapy Physical Therapist CurrentSince Jan 12, 2025 Accepting new patients

Locations

1539 E Piper St
Ste A
Idaho Falls, ID 83401
Phone (208) 716-8988

1539 E Piper St
Idaho Falls, ID 83401
Phone (208) 716-8988

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": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1851101018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 E LEIHM LN",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013658",
            "telephone_number": "208-716-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 E PIPER ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834011467",
            "telephone_number": "208-716-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKINGER",
        "first_name": "RAYSE",
        "middle_name": "LOYD KNIGHT",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "5371547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 4, 2025; 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.