Jared C Pugmire, PTDPT
Jared C Pugmire, PTDPT is a Physical Therapist in Private Practice in Chubbuck, Idaho. Qualified in 2012, 14 years ago. Practices with High Desert Physical Therapy LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Nevada.
- Years since qualifying
- 14
- Licensed in
- ID, NV
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
820 W Chubbuck RdChubbuck, ID 83202-2933
Phone: (208) 240-6017
Fax: (208) 240-6023
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 615 Sierra Rose Dr, Reno, NV 89511-2365 — (775) 828-9724
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 5310 (ID) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 3018 (NV) |
Record details
| NPI number | 1376952713 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PTDPT |
| Sole proprietor | Yes |
| NPI enumerated | August 11, 2014 |
| Last updated in NPPES | April 20, 2020 |
| Certification date | April 20, 2020 |
| Mailing address | 820 W Chubbuck Rd, Chubbuck, ID 83202-2933 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | High Desert Physical Therapy Llc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |