IndividualActive
Jason Hyde, MPT
NPI 1700102662 · Physical Therapist · Blackfoot, ID
Provider details
- NPI number
- 1700102662
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT-1987 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
725 Jensen Grove Dr
Suite 4
Blackfoot, ID 83221-1636
Phone: (208) 227-6255
Street-level locationGet directions
Mailing address
Po Box 730
Blackfoot, ID 83221-0730
Registry dates
- Enumerated
- 2010-04-15
- Last updated
- 2013-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.