NATHANIEL JAY DELEGARD (PT, DPT) – Physical Therapist, NPI 1043940679

NATHANIEL JAY DELEGARD (PT, DPT) is a healthcare provider. based in Post falls, Idaho. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT-8253 (ID). The NPI Number for NATHANIEL JAY DELEGARD (PT, DPT) is 1043940679

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
NATHANIEL JAY DELEGARD (PT, DPT)
NPI
1043940679
Phone
(208) 773-8111
Address
1610 E SCHNEIDMILLER AVE
Enumeration Date
15 June 2022
Last Update Date
15 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5095588801
Graduation Year
2022 (4 years ago)
PAC ID
9335529023
Group Practice PAC ID
4981592938
Professional Enrollment ID
I20260209003857
Address ID
WA990199487LI2110XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

834 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ID

Provider Addresses for NATHANIEL JAY DELEGARD (PT, DPT)

  • 1610 E SCHNEIDMILLER AVE

    POST FALLS, ID 838547065

    Phone: (208) 773-8111

    Mailing address matches the actual address.

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: 2026-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220712002830IPhysical Therapist In Private PracticeIDTBD
I20260209003857IPhysical Therapist In Private PracticeWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes46446$0
97530Therapy procedure using functional activities43551$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes28534$0
97140Therapy procedure using manual technique, each 15 minutes20539$0
97162Evaluation for physical therapy, typically 30 minutes2926$0
View full utilization report →

Insurance plans in this area (ZIP 83854)

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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: 4981592938View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Registered Dietitian Or Nutrition ProfessionalID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID

Reviews

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Frequently asked questions

What identifier follows NATHANIEL JAY DELEGARD (PT, DPT) across health systems?
The NPI 1043940679 uniquely identifies NATHANIEL JAY DELEGARD (PT, DPT) in U.S. healthcare data.
Is NATHANIEL JAY DELEGARD (PT, DPT)'s NPI status active today?
Active status means NATHANIEL JAY DELEGARD (PT, DPT)'s NPI record is not deactivated in the public file.
What does the directory say NATHANIEL JAY DELEGARD (PT, DPT) does?
Insurance directories may phrase it differently, but here NATHANIEL JAY DELEGARD (PT, DPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to NATHANIEL JAY DELEGARD (PT, DPT)?
NATHANIEL JAY DELEGARD (PT, DPT) shows a connection to Post Falls, Idaho in registry-derived data.
Who maintains NATHANIEL JAY DELEGARD (PT, DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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