| Jody Boyd Rawlings, P T | |
|
217 N 2nd East, Rexburg, ID 83440-1621 | |
| (208) 359-6127 | |
| (208) 359-9479 |
| Full Name | Jody Boyd Rawlings |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 29 Years |
| Location | 217 N 2nd East, Rexburg, Idaho |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497897458 | NPI | - | NPPES |
| 000010020600 | Other | ID | REGENCE BLUE SHIELD |
| 185556100 | Other | U.S. DEPT OF LABOR | |
| T3860 | Other | ID | BLUE CROSS |
| 650015362 | Other | RAILROAD MEDICARE | |
| 805399800 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT1346 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spine And Sport Pysical Therapy Pc | 5799772380 | 4 |
| Provider Name | Spine And Sport Pysical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992975825 PECOS PAC ID: 5799772380 Enrollment ID: O20040427000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Jody Boyd Rawlings, P T 217 N 2nd E, Rexburg, ID 83440-1621 Ph: (208) 359-6127 | Jody Boyd Rawlings, P T 217 N 2nd East, Rexburg, ID 83440-1621 Ph: (208) 359-6127 |
Jakob Carstens, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502 | |
Clark Dabell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502 | |
Cordell Pickering, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 526 First American Cir Ste B, Rexburg, ID 83440 Phone: 208-534-7001 | |
Cody Lane Castellaw, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-359-9570 | |
Anthony Humphries, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502 | |
Trevor Brice Dimond, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 526 First American Cir, Rexburg, ID 83440 Phone: 208-534-7001 | |
Kristi Neibaur, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502 |