JAREB C LANDON (PT, DPT) – Physical Therapist, NPI 1295293652

JAREB C LANDON (PT, DPT) is a healthcare provider. based in Idaho falls, Idaho. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT-34078 (FL). The NPI Number for JAREB C LANDON (PT, DPT) is 1295293652

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JAREB C LANDON (PT, DPT)
NPI
1295293652
Phone
Not provided
Address
1460 ELK CREEK DR
Enumeration Date
5 March 2019
Last Update Date
20 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862554596
Graduation Year
2018 (8 years ago)
PAC ID
4385046275
Group Practice PAC ID
9335123504
Professional Enrollment ID
I20210715000128
Address ID
FL321177108DA1865XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:7State licenses:2Digital endpointsOther names

834 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ID

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Provider Addresses for JAREB C LANDON (PT, DPT)

  • 1460, Elk Creek Drive, Idaho Falls, Bonneville County, Idaho, 83404, United States

    IDAHO FALLS, ID 834048237

    Phone:

    Type: Mailing

  • 1075 Mason Ave

    Daytona Beach, FL 321174690

    Phone: (386) 255-4596

    Fax: (386) 257-0558

    Type: Location

  • 1865 LPGA BLVD

    DAYTONA BEACH, FL 321177108

    Phone: (386) 255-4596

    Fax: (386) 257-0558

    Type: Location

  • 1075 MASON AVE

    DAYTONA BEACH, FL 321174611

    Phone: (386) 255-4596

    Fax: (386) 257-0558

    Type: Mailing

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: 2021-07-15

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
I20210715000128IPhysical Therapist In Private PracticeFLTBD

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
97530Therapy procedure using functional activities2,586280$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,572190$0
97150Therapy procedure in a group setting24660$0
97161Evaluation for physical therapy, typically 20 minutes211193$0
97140Therapy procedure using manual technique, each 15 minutes11621$0
View full utilization report →

Insurance plans in this area (ZIP 83404)

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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: 9335123504View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Orthopedic SurgeryFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Physician AssistantFL
Physical Therapist In Private PracticeFL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Orthopedic SurgeryFL

Reviews

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Frequently asked questions

Does JAREB C LANDON (PT, DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JAREB C LANDON (PT, DPT) uses 1295293652.
Can I rely on JAREB C LANDON (PT, DPT) being an active provider?
As of the registry snapshot, JAREB C LANDON (PT, DPT) is marked active.
What is JAREB C LANDON (PT, DPT)'s primary classification?
Physical Therapist is the headline specialty for JAREB C LANDON (PT, DPT) here. Clinical services aligned with this taxonomy classification.
What address line appears for JAREB C LANDON (PT, DPT)?
JAREB C LANDON (PT, DPT)'s geographic hint is Idaho Falls, Idaho in our summary view.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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