Individual provider Active NPI

Nathan Allen Hunsaker, DPT

  • Physical Therapist
  • Rexburg, ID
National Provider Identifier
1871687970
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-1200 Issued in ID
Practice address
526 First American Cir Ste B
Rexburg, ID 83440-5400
Phone
(208) 534-7001
NPI assigned
Oct 3, 2006
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X RPT-1200 ID
Physical Therapist 225100000X PT-1200 ID Primary

Addresses

Primary practice location

526 First American Cir Ste B
Rexburg, ID 83440-5400

Mailing address

1940 S Bonito Way Ste 190
Meridian, ID 83642-5618
Phone (208) 287-9420

Other practice location 1

3155 Channing Way
Suite D
Idaho Falls, ID 83404-7534
Phone (208) 552-2700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060303000666 ID Practitioner - Physical Therapist in Private Practice 2961418611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pick PT Ammon LLCGroup PAC ID 3577911254, 3 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RPT-1200IDMDSpecialist
PT-1200IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pick PT Physical Therapist CurrentSince Sep 12, 2018 Accepting new patients
Pick PT Ammon LLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients

Locations

3155 Channing Way
Ste B
Idaho Falls, ID 83404
Phone (208) 535-4800

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

1940 S Bonito Way
Ste 190
Meridian, ID 83642

526 First American Cir
#B
Rexburg, ID 83440
Phone (208) 534-7001

160 W 2nd S
Ste 1
Rexburg, ID 83440
Phone (208) 534-7001

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1871687970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S BONITO WAY STE 190",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425618",
            "telephone_number": "208-287-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 FIRST AMERICAN CIR STE B",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405400",
            "telephone_number": "208-534-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3155 Channing Way",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834047534",
            "country_code": "US",
            "telephone_number": "208-552-2700",
            "fax_number": "208-552-1533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNSAKER",
        "first_name": "NATHAN",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "RPT-1200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.