IDAHO LUNG AND HEART
NPI 1306608104
Physical Therapist in Rexburg, ID

Active since January 26, 2024

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2025, Oct 4, 2024, Jun 21, 2024 (3 updates tracked since 2024).

About Idaho Lung And Heart NPPES

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

IDAHO LUNG AND HEART (NPI 1306608104) is a healthcare organization registered as a physical therapist in Rexburg, Idaho and active in the NPI registry since January 2024. The organization lists Bradley S Cordero, Owner, as its authorized official.

NPPES Registry Identity

NPI1306608104
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameIDAHO LUNG AND HEART
Location Address38 S 2ND ERexburg, ID 83440-2671
Mailing Address38 S 2nd E Ste 2Rexburg, ID 83440-2675 · (801) 616-7253
Organization SubpartNo
Authorized OfficialBradley S CorderoOwner · (208) 359-9570
Enumeration DateJanuary 26, 2024
Last NPPES UpdateFebruary 4, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1306608104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
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.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
38 S 2ND E, Rexburg, ID 83440

Other Names 1

Doing Business AsIdaho Lung And Heart

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Idaho Lung And Heart is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Idaho Lung And Heart, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1932494002
393 E 2ND N
Rexburg, ID 83440
(208) 359-9570
✔ Accepts Medicare0.5 mi

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

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 Idaho Lung And Heart's NPI number?

The NPI number for Idaho Lung And Heart is 1306608104. It was assigned to this organization in the NPPES registry on January 26, 2024.

Where is Idaho Lung And Heart located?

Idaho Lung And Heart is located at 38 S 2nd E, Rexburg, ID 83440. The listed phone number is (801) 616-7253.

What is Idaho Lung And Heart's specialty?

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

Is Idaho Lung And Heart enrolled in Medicare?

Yes. Idaho Lung And Heart is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idaho Lung And Heart?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Idaho Lung And Heart. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Idaho Lung And Heart accept?

Health plans from Molina Healthcare list Idaho Lung And Heart 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 Idaho Lung And Heart was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.