DR. JEREMIAH KIRTLAND YATES (DPT) – Physical Therapist, NPI 1083815757
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
834 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ID
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Provider Addresses for DR. JEREMIAH KIRTLAND YATES (DPT)
Cayuse Creek Drive, Kimberly, Twin Falls County, Idaho, 83341, United States
KIMBERLY, ID 83341
Phone: (208) 736-1853
Type: Mailing
241, Main Street, Gooding, Gooding County, Idaho, 83330, United States
GOODING, ID 833301103
Phone: (208) 934-4433
Fax: (208) 934-4639
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: 2005-07-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050713000952 | I | Physical Therapist In Private Practice | ID | TBD |
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.
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 83341)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Physical Therapist In Private Practice | ID | |
| Anesthesiology, Pain Management | MO | |
| Physical Therapist In Private Practice | CO | |
| Orthopedic Surgery | ID | |
| Physician Assistant | ID | |
| Occupational Therapist In Private Practice | MT | |
| Diagnostic Radiology | ID | |
| G A S T R O E N T E R O L O G Y | MO | |
| Family Practice | CO |
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