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: July 19, 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
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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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

The NPI number assigned to this healthcare provider is 1235903279, enumerated as an "individual" on November 09, 2023.

The provider is located at 1441 PARKWAY DR STE 1 BLACKFOOT, ID 83221 and the phone number is (208) 785-3446.

Physical Therapist with taxonomy code 225100000X.