IndividualActive
Jamie Benedict, PTA
NPI 1134101223 · Physical Therapy Assistant · Jerome, ID
Provider details
- NPI number
- 1134101223
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- PTA-400 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
128 5th Ave W
Jerome, ID 83338-1863
Phone: (208) 324-3090
Fax: (208) 324-3093
Street-level locationGet directions
Mailing address
239 Taylor St W
Kimberly, ID 83341-1533
Registry dates
- Enumerated
- 2005-11-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.