Brian Jones I, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT-4336 Issued in ID

Practice address

423 Idaho St
Gooding, ID 83330-1258

Phone

(208) 934-9011

Fax

(208) 934-9014

NPI assigned

Jul 17, 2018

Sex

Male

Sole proprietor

No

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.

• Dry Creek Physical Therapy & Wellness PLLC

  • Orthopedic Physical Therapist
  • Lehi, UT
  • NPI 1124109921

  UT

  Medicare reassignment Care Compare group NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dry Creek Physical Therapy and Wellness PLLC 31 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2018.

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1972089571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 EASTLAND DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016747",
            "telephone_number": "208-736-9011",
            "fax_number": "208-934-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 IDAHO ST",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833301258",
            "telephone_number": "208-934-9011",
            "fax_number": "208-934-9014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1053 Eastland Dr",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833016747",
            "country_code": "US",
            "telephone_number": "208-736-9011",
            "fax_number": "208-934-9014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRIAN",
        "name_suffix": "I",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ID",
            "license": "PT-4336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "PT-4336",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Idaho Home Health & Hospice
• Idaho School for the Deaf and the Blind
• Idaho School for the Deaf and the Blind
• Matthew Frank Ivie, PA-C
• Denise Marie Jensen, LPC
• Wayne Kauppila, CADC
• Kendrick Pharmacy Inc
• Merri Ann King, RN CDE
• Brandon Douglas Knight, LMSW
• Jeffrey Koudelka, PHARM D

• All providers in Gooding, ID
• Physical Medicine & Rehabilitation Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.