Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jonah Nicholas Heyneman, PT, DPT

Individual provider Physical Therapist · NPI 1164040655

Dr. Jonah Nicholas Heyneman, PT, DPT is a Physical Therapist in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2020
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

675 Yellowstone Ave # 1
Pocatello, ID 83201-4511
Phone: (208) 478-1488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6967 (ID)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1164040655
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJuly 10, 2020
Last updated in NPPESJuly 10, 2020
Certification dateJuly 10, 2020

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