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

Dr. Timothy Andrew Flicker, MPT, DPT, CSCS

Individual provider Physical Therapist · NPI 1215088059

Dr. Timothy Andrew Flicker, MPT, DPT, CSCS is a Physical Therapist in Private Practice in Chubbuck, Idaho. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
22
Licensed in
ID
In the registry since
2007
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4922 Yellowstone Ave Ste J
Chubbuck, ID 83202-2360
Phone: (208) 237-1882
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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 PT-1884 (ID)

Record details

NPI number1215088059
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT , DPT , CSCS
Sole proprietorNo
NPI enumeratedJanuary 16, 2007
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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