IndividualActive
Jared Pugmire, PT DPT
NPI 1376952713 · Physical Medicine & Rehabilitation Physician · Chubbuck, ID
Provider details
- NPI number
- 1376952713
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PT DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5310 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
820 W Chubbuck Rd
Chubbuck, ID 83202-2933
Phone: (208) 240-6017
Fax: (208) 240-6023
Approximate (ZIP-level) locationGet directions
Mailing address
820 W Chubbuck Rd
Chubbuck, ID 83202-2933
Additional practice locations (1)
- 615 Sierra Rose DrReno, NV 89511-2365Phone: (775) 828-9724
Registry dates
- Enumerated
- 2014-08-11
- Last updated
- 2020-04-20
- Certified
- 2020-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.