JAROD PAUL (DPT) – Physical Therapist, NPI 1003584962

JAROD PAUL (DPT) is a healthcare provider. based in Viola, Idaho. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT61186581 (WA). The NPI Number for JAROD PAUL (DPT) is 1003584962

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JAROD PAUL (DPT)
NPI
1003584962
Phone
(208) 669-0816
Address
1060 VIOLA RD
Enumeration Date
3 September 2021
Last Update Date
3 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607164511
Graduation Year
2021 (5 years ago)
PAC ID
9537550512
Group Practice PAC ID
7719879782
Professional Enrollment ID
I20211230000425
Address ID
WA982716160TU7520XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for JAROD PAUL (DPT)

  • 1060 VIOLA RD

    VIOLA, ID 838729607

    Phone: (208) 669-0816

    Type: Mailing

  • 7520 TOTEM BEACH RD

    TULALIP, WA 982716160

    Phone: (360) 716-4511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211230000425IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83872)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719879782View full group profile
NameSpecialtyState
Nurse PractitionerNC
Endocrinology, Internal MedicineWA
-WA
Marriage And Family TherapistWA
O P T O M E T R YWA
Nurse PractitionerWA
Nurse PractitionerWA
Physician AssistantWA
-WA
-WA

Reviews

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Frequently asked questions

What NPI should I save for JAROD PAUL (DPT)?
Save NPI 1003584962 if you need a stable reference for JAROD PAUL (DPT).
Is JAROD PAUL (DPT)'s NPI currently valid?
The extract we use shows JAROD PAUL (DPT) as active.
What does JAROD PAUL (DPT) treat or focus on?
Patients typically see JAROD PAUL (DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for JAROD PAUL (DPT)?
We surface Viola, Idaho for JAROD PAUL (DPT) based on available NPPES addresses.
What if Viola, Idaho seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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