JACOB MATTHEW PETTIT DPT NPI 1437888062

NPI Details

Jacob Matthew Pettit, DPT is an orthopedic physical therapist in Blackfoot, ID with 4 years of experience. 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. Jacob Matthew Pettit, DPT NPI is 1437888062. 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:

1250 W BRIDGE ST
BLACKFOOT, ID
ZIP 83221-095
Phone: (208) 785-8018
Fax: (208) 785-3332

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
• Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
• Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
• Evaluation for physical therapy, typically 20 minutes (HCPCS:97161)

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

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: