P Praxis·MD
● Active Type 1 · Individual

MR. Trent Jackman, PT

Physical Therapist·Pocatello, ID· NPI 1053503193 · Enumerated 2007 · 18 years on NPI
Jackman is 1 of 1 physical therapist providers in Pocatello and 1 of 9 in Idaho.
NPI age
18 years
Enumerated 2007-08-13
Primary specialty
Physical Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-08-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 9 active physical therapist providers in Idaho.

NPI age
18 years
≈ at median (18 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES
2007 2026

Where they practice

Practice location
Garrison Bldg 63, Room 202, Stop 8045
Pocatello, ID 832090001
📞 2082823065
Mailing address
Dept Of Physical Therapy Idaho State University, Stop 8045
Pocatello, ID 832090001
📞 2082823065

Specialties

  • Physical Therapist Primary
    A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial...
    ID license #PT-1236 taxonomy 2251G0304X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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