NPI age
20 years
Enumerated 2005-11-10
● Active
Type 1 · Individual
Lon Miguel Egbert, PT, ATC
Egbert is 1 of 6 physical therapist providers in Jerome and 1 of 2006 in Idaho.
Primary specialty
Physical Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org
How this provider compares
Across 2006 active physical therapist providers in Idaho.
NPI age
20 years
↑ 9 yr above median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-11Enumerated in NPPES
2005
2026
Where they practice
Practice location
128 5th Ave W
Jerome, ID 833381863
Mailing address
3121 Eagle Ridge Dr
Wendell, ID 833553340
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | T6962 | BLUE CROSS |
| 01 (ID) | 000010140741 | BLUE SHIELD |
Practice context
Part of a multi-provider practice. 4 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 →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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