TREVOR BRICE DIMOND (NPI# 1396136743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396136743 |
| Entity Type | Individual |
| Full Name | TREVOR BRICE DIMOND |
| Credential | DPT |
| Practice Address |
720 S Woodruff Ave Idaho Falls ID 83401-5285 |
| Mailing Address |
1560 S Carol St Meridian ID 83646-1839 |
| Practice Telephone | 2085525025 |
| Practice Fax Number | 2085525029 |
| Mailing Telephone | 2082879420 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT-3826 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | LICENSE | PT-3826 | 01 |
| Street Address |
720 S WOODRUFF AVE |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-5285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770729279 | Charles Todd Storms | Specialist | 720 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2009-01-05 |
| 1891309167 | Alyssa M Sayer | Specialist/Technologist | 720 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2020-09-03 |
| 1285267401 | Brian Dorius | Physical Therapist | 720 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2020-02-17 |
| 1740827385 | Madison Mckenzi De Loera | Physical Medicine & Rehabilitation | 720 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2019-12-02 |
| 1821598178 | Kendall James Adams | Physical Therapist | 720 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2018-02-13 |
| 1184950016 | Bradley Dale Pearson | Specialist | 720 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2009-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174156814 | Snake River Physical Therapy Specialists LLC | Physical Therapist | 620 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2020-02-21 |
| 1477183168 | Pick Pt Physical Therapy LLC | Physical Therapist | 2277 E Lincoln Rd, Idaho Falls, ID 83401-2202 | 2020-01-22 |
| 1629582002 | Michael Davis | Physical Therapist | 2093 Irene Ln, Idaho Falls, ID 83404-7167 | 2017-11-21 |
| 1194243691 | Mcdonald Rehab, PC | Physical Therapist | 3345 Potomac Way Ste B, Idaho Falls, ID 83404-4978 | 2017-09-05 |
| 1346626652 | Tyler J. Larson | Physical Therapist | 3155 Channing Way Ste D, Idaho Falls, ID 83404-7534 | 2015-08-10 |
| 1023415445 | Tahi Physical Therapy Pllc | Physical Therapist | 3345 Merlin Dr Ste 100, Idaho Falls, ID 83404-7405 | 2014-12-01 |
| 1386802908 | Angela Dawn Andrus | Physical Therapist | 2030 Jennie Lee Dr, Suite A, Idaho Falls, ID 83404-7000 | 2008-05-30 |
| 1245415751 | Therapeutic Solutions | Physical Therapist | 3934 Cordell Dr, Idaho Falls, ID 83401-4670 | 2008-01-03 |
| 1942489794 | Stephanie Liddle | Physical Therapist | 3125 Valencia Dr, Idaho Falls, ID 83404-7575 | 2007-10-29 |
| 1760677306 | Kevin Charles Stanforth | Physical Therapist | 374 12th St, Idaho Falls, ID 83404-5369 | 2007-09-06 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
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| 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.