Individual provider Active NPI

Jayden Sutton

  • Physical Therapist
  • Twin Falls, ID
National Provider Identifier
1902545841
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1444 Falls Ave E
Twin Falls, ID 83301-3408
Phone
(208) 736-2574
NPI assigned
May 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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 Primary

Addresses

Primary practice location

1444 Falls Ave E
Twin Falls, ID 83301-3408

Mailing address

1444 Falls Ave E
Twin Falls, ID 83301-3408
Phone (208) 736-2574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220629003363 ID Practitioner - Physical Therapist in Private Practice 5496135972 Reassigns benefits to 1 organization
I20260526002367 UT Practitioner - Physical Therapist in Private Practice 5496135972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wright Physical Therapy Limited PartnershipGroup PAC ID 1759612641, 52 clinicians

Practice addresses (Care Compare)

1444 Falls Ave E
Twin Falls, ID 83301-3408
Phone (208) 736-2574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients
Wright Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients
Performance West Physical Therapy Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
Mountain Land Rehabilitation LLC Physical Therapist Past Accepting new patients

Locations

1615 Curlew Dr
Ammon, ID 83406
Phone (208) 516-1204

931 Center St W
#C
Kimberly, ID 83341
Phone (208) 423-9999

1411 Falls Ave E
Ste 401
Twin Falls, ID 83301
Phone (208) 969-9945

243 Cheney Dr W
Twin Falls, ID 83301
Phone (208) 329-7667

1444 Falls Ave E
Twin Falls, ID 83301
Phone (208) 736-2574

1551 Renaissance Towne Dr
Ste 350
Bountiful, UT 84010
Phone (801) 295-3553

1266 S Legend Hills Dr
Ste B2
Clearfield, UT 84015
Phone (801) 774-6602

473 W Bourne Cir
Ste 1
Farmington, UT 84025
Phone (801) 451-4985

475 N 300 W
Ste 10
Kaysville, UT 84037
Phone (385) 209-2928

Organizations & group practices 4

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1902545841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 FALLS AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013408",
            "telephone_number": "208-736-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 FALLS AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013408",
            "telephone_number": "208-736-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "JAYDEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.