P Praxis·MD
● Active Type 1 · Individual

DR. Jonathan Craig Stevens, MD

Neuromusculoskeletal Medicine & OMM·Ponderay, ID· NPI 1366495178 · Enumerated 2006 · 20 years on NPI
Stevens is 1 of 1 neuromusculoskeletal medicine & omm providers in Ponderay and 1 of 5 in Idaho.
NPI age
20 years
Enumerated 2006-05-19
Primary specialty
Neuromusculoskeletal Medicine & OMM
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5 active neuromusculoskeletal medicine & omm providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
20% of peers hold multiple states
Subspecialties
1
In the 40% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
105 Vermeer Dr Unit 1
Ponderay, ID 838529802
📞 2082661677fax 2082660440
Mailing address
Po Box 353
Clark Fork, ID 83811
📞 2082661677fax 2082660440

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
750 N Syringa St Ste 203
Post Falls, ID 838545275
📞 2082661677fax 2087655654
Location 3
60319 Highway 200
Clark Fork, ID 83811
📞 2082661677fax 2082660440

Specialties

  • Neuromusculoskeletal Medicine & OMM Primary
    The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic...
    ID license #M7507 taxonomy 204D00000X
  • Physical Medicine & Rehabilitation
    Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from...
    ID license #M7507 taxonomy 208100000X

Identifiers

TypeValueNotes
05 (ID) 805192200

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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