TRINITY ANDERSON DPT
NPI 1407649551
Physical Therapist in Chubbuck, ID

Active since May 22, 2025
4922 YELLOWSTONE AVE STE J, CHUBBUCK, ID 83202(208) 237-1882(208) 904-2990 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Trinity Anderson Dpt NPPES

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

TRINITY ANDERSON DPT (NPI 1407649551) is an individual physical therapist in Chubbuck, Idaho, licensed in Idaho (4171962) and active in the NPI registry since May 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1407649551
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameTRINITY ANDERSONCredential: DPT
Location Address4922 YELLOWSTONE AVE STE JChubbuck, ID 83202-2360
Mailing Address1817 S Fairway DrPocatello, ID 83201-2330
Fax(208) 904-2990
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 22, 2025
NPPES CertifiedMay 22, 2025
NPI 1407649551 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 · 4171962
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.
4922 YELLOWSTONE AVE STE J, Chubbuck, ID 83202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Trinity Anderson Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638671639
PECOS Enrollment IDI20250909000172

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Physical Therapy)
4922 YELLOWSTONE AVE STE J
CHUBBUCK, ID 83202
Physical Therapist
4922 YELLOWSTONE AVE STE J
CHUBBUCK, ID 83202
Physical Therapist
4922 YELLOWSTONE AVE STE J
CHUBBUCK, ID 83202
Physical Therapist
4922 YELLOWSTONE AVE STE J
CHUBBUCK, 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 Trinity Anderson's NPI number?

The NPI number for Trinity Anderson is 1407649551. It was assigned to this individual provider in the NPPES registry on May 22, 2025.

Where is Trinity Anderson located?

Trinity Anderson practices at 4922 Yellowstone Ave Ste J, Chubbuck, ID 83202. The listed phone number is (208) 237-1882.

What is Trinity Anderson's specialty?

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

Is Trinity Anderson enrolled in Medicare?

Yes. Trinity Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trinity Anderson was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.