Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cordell Pickering, DPT

Individual provider Physical Therapist · NPI 1124514286

Cordell Pickering, DPT is a Physical Therapist in Private Practice in Rexburg, Idaho. Qualified in 2018, 8 years ago. Practices with Pick PT, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

526 First American Cir Ste B
Rexburg, ID 83440-5400
Phone: (208) 534-7001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3100 S Woodruff Ave, Idaho Falls, ID 83404-8310 — (208) 523-8879

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT5542 (ID)

Record details

NPI number1124514286
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 2, 2018
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address1940 S Bonito Way Ste 190, Meridian, ID 83642-5618

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Pick Pt — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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