Brent E Dobson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4473 Fox CT
Chubbuck, ID 83202-2670

Phone

(208) 221-2892

NPI assigned

Jul 9, 2008

Last updated

Jul 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Speech Therapy Services, LLC

  • Speech-Language Pathologist
  • Pocatello, ID
  • NPI 1669798971
  NPD (past)

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1871756742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6032",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832056032",
            "telephone_number": "208-221-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4473 FOX CT",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022670",
            "telephone_number": "208-221-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBSON",
        "first_name": "BRENT",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Mitchell Day, APRN-CNP
• Matthew R Decker, PHARM.D.
• Kara Devore, LMSW
• Richard Diaz, PARAPROFESSIONAL
• Joseph Thien DO, LPC
• Skyler Micol Dorius, FNP
• Dr Wendell R Fackrell PLLC
• Robert Dallon Draper, PARAPROFESSIONAL
• Kiara Draven, PARAPROFESSIONAL
• Landon Duval, LPC

• Physical Therapist in Chubbuck, ID
• Providers in Chubbuck, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.