ALICIA G SIDDOWAY (RPT) – Physical Therapist, NPI 1679748248

ALICIA G SIDDOWAY (RPT) is a healthcare provider. based in Rexburg, Idaho. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials RPT. They hold a License No. PT437 (ID). The NPI Number for ALICIA G SIDDOWAY (RPT) is 1679748248

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
ALICIA G SIDDOWAY (RPT)
NPI
1679748248
Phone
(208) 359-2500
Address
1 PROFESSIONAL PLZ
Enumeration Date
24 April 2008
Last Update Date
24 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083592500
Graduation Year
1983 (43 years ago)
PAC ID
5799007738
Group Practice PAC ID
2567684640
Professional Enrollment ID
I20141203000172
Address ID
ID834402024RE1XXXXPLZX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

834 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ID

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Provider Addresses for ALICIA G SIDDOWAY (RPT)

  • 1, Professional Plaza, Rexburg, Madison County, Idaho, 83440, United States

    REXBURG, ID 834402024

    Phone: (208) 359-2500

    Fax: (208) 359-2502

    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: 2014-12-03

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
I20141203000172IPhysical Therapist In Private PracticeIDTBD

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
97597Removal of tissue from wound, 20.0 sq cm or less21946$0
97610Therapy procedure using ultrasound20413$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes10015$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes8617$0
97140Therapy procedure using manual technique, each 15 minutes4513$0
View full utilization report →

Insurance plans in this area (ZIP 83440)

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Provider's Procedures

ALICIA G SIDDOWAY (RPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYID97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes48134

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: 2567684640View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID
Certified Clinical Nurse Specialist (Cns)CO

Reviews

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Frequently asked questions

What is the registry number for ALICIA G SIDDOWAY (RPT)?
The registry entry for ALICIA G SIDDOWAY (RPT) shows NPI 1679748248.
Does the public listing show ALICIA G SIDDOWAY (RPT) as active?
ALICIA G SIDDOWAY (RPT)'s NPI record reflects an active status in NPPES.
Which specialty label fits ALICIA G SIDDOWAY (RPT)?
NPPES ties ALICIA G SIDDOWAY (RPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ALICIA G SIDDOWAY (RPT)?
ALICIA G SIDDOWAY (RPT) shows a connection to Rexburg, Idaho in registry-derived data.
Why is information missing for ALICIA G SIDDOWAY (RPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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