JAREB LANDON (NPI# 1295293652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295293652 |
| Entity Type | Individual |
| Full Name | JAREB LANDON |
| Practice Address |
1460 Elk Creek Dr Idaho Falls ID 83404-8237 |
| Practice Telephone | 2085351286 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT6215 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1460 ELK CREEK DR |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-8237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264147 | Alexandra Christine Taylor | Speech-Language Pathologist | 1460 Elk Creek Dr, Idaho Falls, ID 83404-8237 | 2020-10-31 |
| 1497365845 | Spencer Vandenburg | Occupational Therapist | 1460 Elk Creek Dr, Idaho Falls, ID 83404-8237 | 2020-07-31 |
| 1528683497 | Amanda Elaine Tate | Speech-Language Pathologist | 1460 Elk Creek Dr, Idaho Falls, ID 83404-8237 | 2020-06-16 |
| 1073152633 | Britney Baumgartel | Speech-Language Pathologist | 1460 Elk Creek Dr, Idaho Falls, ID 83404-8237 | 2019-12-31 |
| 1790324358 | Brianne Michelle Johnson | Speech-Language Pathologist | 1460 Elk Creek Dr, Idaho Falls, ID 83404-8237 | 2019-12-31 |
| 1750933065 | Rebecca Ann Jones | Speech-Language Pathologist | 1460 Elk Creek Dr, Idaho Falls, ID 83404-8237 | 2019-07-16 |
| 1609432269 | Molly Kathleen Minto | Speech-Language Pathologist | 1460 Elk Creek Dr, Idaho Falls, ID 83404-8237 | 2019-05-19 |
| 1821651969 | Kelsey Janowicz | Occupational Therapist | 1460 Elk Creek Dr, Idaho Falls, ID 83404-8237 | 2019-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194128314 | Susan Hunter | Physical Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2014-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604166 | Steppin' Stones Therapy, Pllc | Physical Therapist | 302 2nd Ave E, Twin Falls, ID 83301-6425 | 2019-05-16 |
| 1720402431 | Building Blocks Pediatric Therapy | Physical Therapist | 1019 3rd St, Lewiston, ID 83501-2713 | 2014-02-17 |
| 1669734042 | Moscow Charter School | Physical Therapist | 1723 E F Street, Moscow, ID 83843-9571 | 2012-06-12 |
| 1225396435 | Jeanne Leslie Strozier-wagner | Physical Therapist | 1004 Glen Haven Pl, Boise, ID 83705-2233 | 2012-04-25 |
| 1851664643 | Kevin Spiegel | Physical Therapist | 3025 W Cherry Ln Ste D, Meridian, ID 83642 | 2012-02-09 |
| 1093097081 | Eydie Kendall | Physical Therapist | 1400 Terry Drive, Pocatello, ID 83209 | 2011-09-15 |
| 1124199443 | Katherine Simpson Rowe | Physical Therapist | 1419 E Jefferson St, Boise, ID 83712-8018 | 2006-11-10 |
| 1295839371 | Mark S Taylor | Physical Therapist | 3800 Taylorview Ln, Ammon, ID 83406-8145 | 2006-09-11 |
| 1508829516 | Wendy Rouse Rohin | Physical Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2006-04-10 |
| 1528679743 | Cassie A Sharon | Physical Therapist | 6855 W Fairview Ave, Boise, ID 83704-8046 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on JAREB LANDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.