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

Kaden Sutherland, PT

Individual provider Physical Therapist · NPI 1912697541

Kaden Sutherland, PT is a Physical Therapist in Private Practice in Rexburg, Idaho. Qualified in 2023, 3 years ago. Practices with Spine and Sport Pysical Therapy PC, a 4-clinician group. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

217 N 2nd E
Rexburg, ID 83440-1621
Phone: (208) 359-6127
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-8704 (ID)

Record details

NPI number1912697541
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 8, 2023
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025
Mailing address217 N 2nd E, Rexburg, ID 83440-1621

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Spine And Sport Pysical Therapy Pc — 4 clinicians
Accepts Medicare assignment Not indicated

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