GREGORY WILLIAM HYDE (DPT) – Physical Therapist, NPI 1073376323

GREGORY WILLIAM HYDE (DPT) is a healthcare provider. based in Montpelier, Idaho. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT-4375 (ID). The NPI Number for GREGORY WILLIAM HYDE (DPT) is 1073376323

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY WILLIAM HYDE (DPT)
NPI
1073376323
Phone
(208) 847-4417
Address
164 S 5TH ST
Enumeration Date
31 January 2024
Last Update Date
31 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2084037422
Graduation Year
2015 (11 years ago)
PAC ID
7416397997
Group Practice PAC ID
2365851540
Professional Enrollment ID
I20240501001128
Address ID
ID834023344ID804XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

834 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ID

Provider Addresses for GREGORY WILLIAM HYDE (DPT)

  • 164 S 5TH ST

    MONTPELIER, ID 832541597

    Phone: (208) 847-4417

    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: 2025-05-20

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
I20240501001128IPhysical Therapist In Private PracticeIDTBD
I20250520002149IPhysical Therapist In Private PracticeUTTBD

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 83254)

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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: 2365851540View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID

Reviews

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Frequently asked questions

How do payers reference GREGORY WILLIAM HYDE (DPT)?
For GREGORY WILLIAM HYDE (DPT), use NPI 1073376323 as the unique 10-digit identifier.
Is GREGORY WILLIAM HYDE (DPT) still an active registrant?
GREGORY WILLIAM HYDE (DPT) carries an active NPI according to the public dataset.
How would a patient describe GREGORY WILLIAM HYDE (DPT)'s focus?
For GREGORY WILLIAM HYDE (DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with GREGORY WILLIAM HYDE (DPT)?
Directory geography for GREGORY WILLIAM HYDE (DPT) centers on Montpelier, Idaho.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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