WALTER JORDAN WICKHAM DPT
NPI 1346843802
Physical Medicine & Rehabilitation in Pocatello, ID

Active since November 18, 2020
1800 FLANDRO DR STE 190, POCATELLO, ID 83202(208) 233-2248 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walter Jordan Wickham Dpt NPPES

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

WALTER JORDAN WICKHAM DPT (NPI 1346843802) is an individual physical medicine & rehabilitation provider in Pocatello, Idaho, licensed in Idaho (PT-7106) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1346843802
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameWALTER JORDAN WICKHAMCredential: DPT
Location Address1800 FLANDRO DR STE 190Pocatello, ID 83202-4940
Mailing Address1800 Flandro Dr Ste 190Pocatello, ID 83202-4940 · (208) 233-2248
Sole ProprietorNo
Enumeration DateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
NPI 1346843802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in ID · PT-7106
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1800 FLANDRO DR STE 190, Pocatello, ID 83202

Accepted Insurance

Areas of Expertise CMS Part B claims 5

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 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.
225 services20 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.
143 services20 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.
114 services16 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.
109 services18 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
11 services11 patients

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
1800 FLANDRO DR STE 190
POCATELLO, ID 83202
Physical Therapist
1800 FLANDRO DR STE 190
POCATELLO, ID 83202
Physical Therapy Assistant
1800 FLANDRO DR STE 190
POCATELLO, ID 83202
Physical Therapist
1800 FLANDRO DR STE 190
POCATELLO, ID 83202
Physical Therapist
1800 FLANDRO DR STE 190
POCATELLO, ID 83202
Physical Therapist
1800 FLANDRO DR STE 190
POCATELLO, ID 83202
Physical Therapist
1800 FLANDRO DR STE 190
POCATELLO, ID 83202
Physical Therapy Assistant
1800 FLANDRO DR STE 190
POCATELLO, ID 83202

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 Walter Wickham's NPI number?

The NPI number for Walter Wickham is 1346843802. It was assigned to this individual provider in the NPPES registry on November 18, 2020.

Where is Walter Wickham located?

Walter Wickham practices at 1800 Flandro Dr Ste 190, Pocatello, ID 83202. The listed phone number is (208) 233-2248.

What is Walter Wickham's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

What insurance does Walter Wickham accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Walter Wickham 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 Walter Wickham was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.