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

Jared W Simonson, DPT

Individual provider Physical Therapist · NPI 1194001297

Jared W Simonson, DPT is a Physical Therapist in Private Practice in Nampa, Idaho. Qualified in 2011, 15 years ago. Practices with Prime Sports Med, a 4-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2011
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

1601 12th Ave Rd Ste 101
Nampa, ID 83686
Phone: (208) 466-0200
Fax: (208) 261-3140
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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-2903 (ID)

Record details

NPI number1194001297
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 2, 2011
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021
Mailing address1601 12th Ave Rd, Suite 101, Nampa, ID 83686

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Prime Sports Med — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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