MR. RANDY C SIDWELL PT, MS, ATC
NPI 1962547257
Physical Therapist in Pocatello, ID

Active since February 21, 2007Accepts Medicare Assignment
333 N 18TH AVE STE D2, POCATELLO, ID 83201(208) 232-6490(208) 234-4805 Get Directions Write a Review

NPPES record last updated: March 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Randy C Sidwell Pt, Ms, Atc NPPES

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

MR. RANDY C SIDWELL PT, MS, ATC (NPI 1962547257) is an individual physical therapist in Pocatello, Idaho, licensed in Idaho (PT-1535) and active in the NPI registry since February 2007. He is a graduate of Other (1996).

NPPES Registry Identity

NPI1962547257
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. RANDY C SIDWELLCredential: PT, MS, ATC
Location Address333 N 18TH AVE STE D2Pocatello, ID 83201-3358
Mailing Address333 N 18th Ave Ste D2Pocatello, ID 83201-3358 · (208) 232-6490 · Fax (208) 234-4805
Fax(208) 234-4805
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 21, 2007
Last NPPES UpdateMarch 15, 2012
NPI 1962547257 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-1535
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.
333 N 18TH AVE STE D2, Pocatello, ID 83201

Other Identifiers 2

Medicaid805846600ID
Medicare ID-Type Unspecified1653182ID

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

Mr. Randy C Sidwell Pt, Ms, Atc 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 ID7416994975
PECOS Enrollment IDI20200127000701

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 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.
3,839 services60 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.
1,194 services50 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.
315 services29 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
231 services23 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
39 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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.

Other Providers at the Same Location NPPES 3

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

Physical Therapist
333 N 18TH AVE STE D2
POCATELLO, ID 83201
Physical Therapist
333 N 18TH AVE STE D2
POCATELLO, ID 83201
Durable Medical Equipment & Medical Supplies
333 N 18TH AVE STE D2
POCATELLO, ID 83201

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 Randy Sidwell's NPI number?

The NPI number for Randy Sidwell is 1962547257. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Randy Sidwell located?

Randy Sidwell practices at 333 N 18th Ave Ste D2, Pocatello, ID 83201. The listed phone number is (208) 232-6490.

What is Randy Sidwell's specialty?

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

Is Randy Sidwell enrolled in Medicare?

Yes. Randy Sidwell 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 Randy Sidwell accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Randy Sidwell 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 Randy Sidwell was last updated on March 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.