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

Walter Jordan Wickham, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1346843802

Walter Jordan Wickham, DPT is a Physical Medicine & Rehabilitation Physician in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1800 Flandro Dr Ste 190
Pocatello, ID 83202-4940
Phone: (208) 233-2248
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence PT-7106 (ID)

Record details

NPI number1346843802
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 18, 2020
Last updated in NPPESNovember 18, 2020
Certification dateNovember 18, 2020
Mailing address1800 Flandro Dr Ste 190, Pocatello, ID 83202-4940

Other providers in Pocatello