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

Dr. Jeremiah Kirtland Yates, DPT

Individual provider Physical Therapist · NPI 1083815757

Dr. Jeremiah Kirtland Yates, DPT is a Physical Therapist in Private Practice in Gooding, Idaho. Qualified in 2005, 21 years ago. Practices with North Canyon Medical Center Inc, a 72-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
21
Licensed in
ID
In the registry since
2007
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

241 Main St
Gooding, ID 83330-1103
Phone: (208) 934-4433
Fax: (208) 934-4639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-1973 (ID)

Record details

NPI number1083815757
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESDecember 8, 2009

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice North Canyon Medical Center Inc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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