DR. SAMUEL JON HACKETT DPT NPI 1366762122

NPI Information

NPI: 1366762122
Provider Name: DR. SAMUEL JON HACKETT, DPT
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
1001 S BRIDGEWAY PL
EAGLE, ID
ZIP 83616
Phone: (208) 385-3500
Get Directions

DR. Samuel Jon Hackett, DPT is an orthopedic physical therapist in Eagle, ID. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. DR. Samuel Jon Hackett, DPT NPI is 1366762122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1001 S BRIDGEWAY PL
EAGLE, ID
ZIP 83616-099
Phone: (208) 385-3500
Fax: (208) 385-3501

The enumeration date for this NPI number is 6/3/2010 and was last updated on 8/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2251X0800X	Physical Therapist	Orthopedic	PT-2773	IDAHO	Yes
2	225100000X	Physical Therapist		6218	OREGON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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