NPI age
7 years
Enumerated 2018-11-02
● Active
Type 1 · Individual
Jessica Annelaine Vandyke, DPT
Vandyke is 1 of 28 physical therapist providers in Blackfoot and 1 of 2006 in Idaho.
Primary specialty
Physical Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-09-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2006 active physical therapist providers in Idaho.
NPI age
7 years
↓ 4 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-11Enumerated in NPPES
2018
2026
Where they practice
Practice location
282 W Bridge St
Blackfoot, ID 83221
Mailing address
1800 Flandro Dr Ste 190
Pocatello, ID 832024940
Specialties
-
Physical Therapist PrimaryPhysical 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...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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