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JONATHAN DAC-MOANG LIEM DPT
NPI 1235903279
Physical Therapist in Blackfoot, ID

Active since November 09, 2023Accepts Medicare Assignment
1441 PARKWAY DR STE 1, BLACKFOOT, ID 83221(208) 785-3446(208) 980-7241 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jonathan Dac-moang Liem Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN DAC-MOANG LIEM DPT (NPI 1235903279) is an individual physical therapist in Blackfoot, Idaho, licensed in Idaho (PT-8771) and active in the NPI registry since November 2023. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1235903279
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJONATHAN DAC-MOANG LIEMCredential: DPT
Location Address1441 PARKWAY DR STE 1Blackfoot, ID 83221-1667
Mailing Address1441 Parkway Dr Ste 1Blackfoot, ID 83221-1667 · (208) 785-3446 · Fax (208) 980-7241
Phone(208) 785-3446
Fax(208) 980-7241
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 9, 2023
NPPES CertifiedNovember 9, 2023
✔ NPI 1235903279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in ID · PT-8771
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1441 PARKWAY DR STE 1, Blackfoot, ID 83221
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Dac-moang Liem Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193176758
PECOS Enrollment IDI20250425001526

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Liem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Holisticare Physical Therapy
3,012 mi
Physical Therapist
400 KEAWE ST # 416
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 6 clinicians in this Medicare group
NPI 1215326509 (808) 348-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
789 services75 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
737 services71 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
258 services48 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
165 services40 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
84 services14 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Liem's NPI number?

The NPI number for Jonathan Liem is 1235903279. It was assigned to this individual provider in the NPPES registry on November 9, 2023.

Where is Jonathan Liem located?

Jonathan Liem practices at 1441 Parkway Dr Ste 1, Blackfoot, ID 83221. The listed phone number is (208) 785-3446.

What is Jonathan Liem's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jonathan Liem enrolled in Medicare?

Yes. Jonathan Liem is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jonathan Liem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Liem reassigns Medicare benefits to Holisticare Physical Therapy (Honolulu, HI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Liem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Liem accept?

Health plans from Molina Healthcare and Select Health list Jonathan Liem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Liem was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.