JACQUELYN ROSE MALLET DPT
NPI 1962243063
Physical Therapist in Spirit Lake, ID

Active since June 03, 2024Accepts Medicare Assignment
6186 W MAINE ST, SPIRIT LAKE, ID 83869(208) 449-1596 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacquelyn Rose Mallet Dpt NPPES

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

JACQUELYN ROSE MALLET DPT (NPI 1962243063) is an individual physical therapist in Spirit Lake, Idaho, licensed in Idaho (PT-9060) and active in the NPI registry since June 2024. She maintains 6 additional practice locations and is a graduate of Other (2024).

NPPES Registry Identity

NPI1962243063
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameJACQUELYN ROSE MALLETCredential: DPT
Location Address6186 W MAINE STSpirit Lake, ID 83869-0149
Mailing Address1917 N Lakewood DrCoeur D Alene, ID 83814-2634 · (208) 763-0485
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 3, 2024
NPPES CertifiedJune 3, 2024
NPI 1962243063 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-9060
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.
6186 W MAINE ST, Spirit Lake, ID 83869

Secondary Practice Locations 6

Location 121950 E Country Vista DrLiberty Lake, WA 99019-6005 · Phone (509) 558-8801
Location 2210 E Sherman AveCoeur D Alene, ID 83814-2750 · Phone (208) 262-4539
Location 31917 N Lakewood DrCoeur D Alene, ID 83814-2634 · Phone (208) 763-0485
Location 41765 W Golf Course RdCoeur D Alene, ID 83815-9033 · Phone (208) 277-0795
Location 51610 E Schneidmiller AvePost Falls, ID 83854-7065 · Phone (208) 773-8111
Location 61172 W Hayden AveHayden, ID 83835-8700 · Phone (208) 762-3332

Accepted Insurance

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

Jacquelyn Rose Mallet 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 ID9234672973
PECOS Enrollment IDI20240621002681

Areas of Expertise CMS Part B claims 3

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 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.
283 services16 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.
88 services13 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.
70 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83869 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 Jacquelyn Mallet's NPI number?

The NPI number for Jacquelyn Mallet is 1962243063. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Jacquelyn Mallet located?

Jacquelyn Mallet practices at 6186 W Maine St, Spirit Lake, ID 83869. The listed phone number is (208) 449-1596.

What is Jacquelyn Mallet's specialty?

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

Is Jacquelyn Mallet enrolled in Medicare?

Yes. Jacquelyn Mallet 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.

What insurance does Jacquelyn Mallet accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jacquelyn Mallet 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 Jacquelyn Mallet was last updated on June 3, 2024. 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.