Keegan Parmer, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT-5203 Issued in ID

Practice address

1615 Midway Dr
Ammon, ID 83406-6799

Phone

(208) 529-1715

NPI assigned

May 11, 2017

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

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barnes Physical Therapy, LLCGroup PAC ID 5092964809, 6 clinicians

Vista Physical Therapy, PLLCGroup PAC ID 8123436755, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vista Physical Therapy, PLLC

  • Physical Therapist
  • Ammon, ID
  • NPI 1033704101
  Medicare reassignment Care Compare group NPD Authorized official
• Barnes Physical Therapy, LLC

  • Physical Therapist
  • Blackfoot, ID
  • NPI 1548524440
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1871029660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 N MCKIBBEN LN",
            "city": "IONA",
            "state": "ID",
            "postal_code": "834277721",
            "telephone_number": "208-529-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 MIDWAY DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066799",
            "telephone_number": "208-529-1715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 W Bridge St",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Blackfoot",
            "state": "ID",
            "postal_code": "832215095",
            "country_code": "US",
            "telephone_number": "208-785-8018",
            "fax_number": "208-785-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARMER",
        "first_name": "KEEGAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ID",
            "license": "PT-5203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Ann P'Pool, LCSW
• Jace Reed Parker, LSW
• Kent Parkinson
• Samuel Parkinson, CPSS
• Katie Parks, CPSS
• Kalob J. Parsons, AU.D.
• Baden James Patterson, DC
• Ruth Anne Patton, MSW, LCSW
• Peak Performance Therapy Services P C
• Pearl Health Clinic

• Orthopedic Physical Therapist in Ammon, ID
• Providers in Ammon, ID by specialty
• Orthopedic Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.