Jessica Annelaine Vandyke (NPI# 1104394659, PAC ID# 9931448305) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1104394659 |
| PAC ID by PECOS | 9931448305 |
| Professional Enrollment ID | I20190301000069 |
| Full Name | Jessica Annelaine Vandyke |
| Organization Legal Name | BARNES PHYSICAL THERAPY, LLC |
| Address |
1250 W Bridge St Blackfoot ID 83221-5095 |
| Phone Number | 2087858018 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5092964809 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1250 W Bridge St, Blackfoot, ID 83221-5095 | 2087858018 | BARNES PHYSICAL THERAPY, LLC |
| Organization Legal Name | BARNES PHYSICAL THERAPY, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor G Barnes | Physical Therapy | Barnes Physical Therapy, LLC | 1250 W Bridge St, Blackfoot, ID 83221-5095 |
| Keegan D Parmer | Physical Therapy | Barnes Physical Therapy, LLC | 1250 W Bridge St, Blackfoot, ID 83221-5095 |
| Street Address |
1250 W BRIDGE ST |
| City | BLACKFOOT |
| State | ID |
| Zip | 83221-5095 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor G Barnes | Physical Therapy | Barnes Physical Therapy, LLC | 1250 W Bridge St, Blackfoot, ID 83221-5095 |
| Keegan D Parmer | Physical Therapy | Barnes Physical Therapy, LLC | 1250 W Bridge St, Blackfoot, ID 83221-5095 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan T Sayre | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Mark L Edlefsen | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Brandon K Pieper | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Zachary D Morrow | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Cory J Sayre | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Shawn M Murray | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Christopher L Wehrli | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Shawn A Wren | Certified Registered Nurse Anesthetist (crna) | East Idaho Anesthesia Associates PC | 350 N Meridian St, Blackfoot, ID 83221-1625 |
| Dee S Stevens | Chiropractic | 725 Jensen Grove Dr, Suite 4, Blackfoot, ID 83221-1636 | |
| Anne M Preston | Clinical Social Worker | Portneuf Valley Family Center, Inc. | 1495 Pkwy Dr C, Blackfoot, ID 83221-1639 |
| Find all physicians in zip 83221 | |||
| City | BLACKFOOT |
| Zip Code | 83221 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BLACKFOOT + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jessica Annelaine Vandyke.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.