| Mcdonald Rehab, Pc | |
|
1800 Flandro Dr, Suite 190, Pocatello, ID 83202-4940 | |
| (208) 233-2248 | |
| (208) 233-0219 |
| Full Name | Mcdonald Rehab, Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1800 Flandro Dr, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497948509 | NPI | - | NPPES |
| 7869690 | Other | KY | AETNA |
| 807980200 | Medicaid | ID | |
| P00320548 | Other | ID | BLUE SHIELD MEDICARE ADVA |
| T9345 | Other | ID | BCID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT-884 (Idaho) | Secondary |
| 225100000X | Physical Therapist | PT-1555 (Idaho) | Primary |
| Provider Name | Bart W Mcdonald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043332901 PECOS PAC ID: 3274593108 Enrollment ID: I20050809000678 |
| Provider Name | Zachary Daniels |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841595923 PECOS PAC ID: 6305023870 Enrollment ID: I20110609000463 |
| Provider Name | Barrett J Gibson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134481138 PECOS PAC ID: 6800043241 Enrollment ID: I20120821000001 |
| Provider Name | Emilie L Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588065882 PECOS PAC ID: 0749408615 Enrollment ID: I20140908000164 |
| Provider Name | Andrew Blake Goode |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447698113 PECOS PAC ID: 8921319815 Enrollment ID: I20150618001796 |
| Provider Name | Melissa Arrington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912225335 PECOS PAC ID: 9133431810 Enrollment ID: I20150709000537 |
| Provider Name | Candice Laree Tovey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194130856 PECOS PAC ID: 8325355050 Enrollment ID: I20150914001404 |
| Provider Name | Joshua Paul Strait |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063869816 PECOS PAC ID: 7719279074 Enrollment ID: I20160706001493 |
| Provider Name | Ryker Nelson Spackman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942704846 PECOS PAC ID: 3971866575 Enrollment ID: I20180412002344 |
| Provider Name | Jessica Annelaine Vandyke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104394659 PECOS PAC ID: 9931448305 Enrollment ID: I20190301000069 |
| Provider Name | Brett S Bennett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093271355 PECOS PAC ID: 5092058396 Enrollment ID: I20190529001960 |
| Provider Name | Jonathan Hancock Goodman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093371031 PECOS PAC ID: 6406181858 Enrollment ID: I20190708002760 |
| Provider Name | Carolyn Frances Weber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336795673 PECOS PAC ID: 5597095257 Enrollment ID: I20190923001382 |
| Provider Name | Kyle David Arthur Cook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730723719 PECOS PAC ID: 6002239217 Enrollment ID: I20200707001375 |
| Provider Name | Walter Jordan Wickham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346843802 PECOS PAC ID: 2163834409 Enrollment ID: I20201210002075 |
| Provider Name | Dallin Robert Leifson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972171114 PECOS PAC ID: 2264836899 Enrollment ID: I20210804002349 |
| Provider Name | Kelly Rojek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144847203 PECOS PAC ID: 9436576741 Enrollment ID: I20220414001740 |
| Provider Name | Timothy Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134857519 PECOS PAC ID: 2769866037 Enrollment ID: I20220906001176 |
| Provider Name | Jesse Robert Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104571256 PECOS PAC ID: 3072909134 Enrollment ID: I20220926002029 |
| Provider Name | Lloyd Keith Schempp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700921087 PECOS PAC ID: 5991809105 Enrollment ID: I20230711001219 |
| Provider Name | Tyler Ross Cannon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275288821 PECOS PAC ID: 3577927615 Enrollment ID: I20230907004539 |
| Provider Name | Ryan Lavon Pope |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790257293 PECOS PAC ID: 4880023704 Enrollment ID: I20240314000002 |
| Provider Name | Matthew Paul Wright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194570051 PECOS PAC ID: 6305382110 Enrollment ID: I20240729000679 |
| Provider Name | Daniel Stark Russon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962242669 PECOS PAC ID: 0749727121 Enrollment ID: I20240802001270 |
| Provider Name | Riley Alen Grube |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972337426 PECOS PAC ID: 2163954629 Enrollment ID: I20241022002996 |
| Mailing Address | Practice Location Address |
|---|---|
| Mcdonald Rehab, Pc 1800 Flandro Dr, Suite 190, Pocatello, ID 83202-4940 Ph: (208) 233-2248 | Mcdonald Rehab, Pc 1800 Flandro Dr, Suite 190, Pocatello, ID 83202-4940 Ph: (208) 233-2248 |
Dr. Jared Denor Lundquist, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2450 Skylar Pl, Pocatello, ID 83201 Phone: 435-339-9058 | |
Bart William Mcdonald, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr, 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219 | |
Mr. Trent Jackman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Garrison Bldg 63, Room 202, Stop 8045, Pocatello, ID 83209 Phone: 208-282-3065 | |
Laura M Sprague, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 Vista Dr, Suite A, Pocatello, ID 83201 Phone: 208-478-1488 Fax: 208-478-1498 | |
Mr. Joshua Strait, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr Ste 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219 | |
Kaitlin Bailey Livesay Vail, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 921 S 8th Ave Stop 8045, Pocatello, ID 83201 Phone: 208-282-4095 | |
Streamline Sports Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 335 E Lewis St Ste 10, Pocatello, ID 83201 Phone: 208-269-2360 Fax: 208-550-3256 |