KADEN SUTHERLAND (PT) – Physical Therapist, NPI 1912697541

KADEN SUTHERLAND (PT) is a healthcare provider. based in Rexburg, Idaho. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT-8704 (ID). The NPI Number for KADEN SUTHERLAND (PT) is 1912697541

Main info

Male
3 Years Of Experience
Name
KADEN SUTHERLAND (PT)
NPI
1912697541
Phone
(208) 359-6127
Address
217 N 2ND E
Enumeration Date
8 May 2023
Last Update Date
19 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083596127
Graduation Year
2023 (3 years ago)
PAC ID
2365800992
Group Practice PAC ID
5799772380
Professional Enrollment ID
I20230614001125
Address ID
ID834401621RE217XX2NDX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

834 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ID

Provider Addresses for KADEN SUTHERLAND (PT)

  • 217 N 2ND E

    REXBURG, ID 834401621

    Phone: (208) 359-6127

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2023-06-14

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
I20230614001125IPhysical 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
97530Therapy procedure using functional activities59334$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes32734$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes27430$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care15724$0
97016Application of blood vessel compression device14419$0
View full utilization report →

Insurance plans in this area (ZIP 83440)

Loading plans...

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: 5799772380View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeID
Physical Medicine And RehabilitationID
Physical Therapist In Private PracticeNV

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for KADEN SUTHERLAND (PT) in the U.S.?
In the U.S., KADEN SUTHERLAND (PT) is identified by NPI 1912697541.
Should I treat KADEN SUTHERLAND (PT) as an active provider?
Patients and plans typically see KADEN SUTHERLAND (PT) as active in the national extract.
What type of care does KADEN SUTHERLAND (PT) provide?
KADEN SUTHERLAND (PT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to KADEN SUTHERLAND (PT)?
KADEN SUTHERLAND (PT) shows a connection to Rexburg, Idaho in registry-derived data.
Who maintains KADEN SUTHERLAND (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

36 WINN DRIVE
NPI: 1548245236
526 First American Cir
NPI: 1164493474
325 Hanson St
NPI: 1174585343
848, North Rainbow Boulevard, Inner Northwest, Las Vegas, Clark County, Nevada, 89107, United States
NPI: 1912912791
393 E 2nd N
NPI: 1134135569

Rexburg Rehabilitation

Physical Therapist
36 WINN DRIVE
NPI: 1194732214
3155 Channing Way
NPI: 1871687970

DR. BRYCE S WOODFIELD (PT)

Physical Therapist
PO BOX 276
NPI: 1063508885

DIRK ANDREASEN (MPT)

Physical Therapist
32, West 1st South, Rexburg, Madison County, Idaho, 83440, United States
NPI: 1700953288