| Trevor Brice Dimond, DPT | |
|
526 First American Cir, Rexburg, ID 83440-5400 | |
| (208) 534-7001 | |
| Not Available |
| Full Name | Trevor Brice Dimond |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 12 Years |
| Location | 526 First American Cir, Rexburg, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396136743 | NPI | - | NPPES |
| PT-3826 | Other | ID | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | PT-3826 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pick Pt Physical Therapy Idaho Falls | 8628449899 | 2 |
| Provider Name | Pick Pt |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861977480 PECOS PAC ID: 5496092702 Enrollment ID: O20190124001856 |
| Provider Name | Pick Pt Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477183168 PECOS PAC ID: 1850713884 Enrollment ID: O20200622001050 |
| Provider Name | Pick Pt Physical Therapy Idaho Falls |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1366168684 PECOS PAC ID: 8628449899 Enrollment ID: O20230126000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor Brice Dimond, DPT 1940 S Bonito Way Ste 190, Meridian, ID 83642-5618 Ph: (208) 287-9420 | Trevor Brice Dimond, DPT 526 First American Cir, Rexburg, ID 83440-5400 Ph: (208) 534-7001 |
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 | |
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 |