NPI age
3 years
Enumerated 2022-06-08
● Active
Type 1 · Individual
Jacob Matthew Pettit, DPT
Pettit is 1 of 1 physical therapist providers in Blackfoot and 1 of 83 in Idaho.
Primary specialty
Physical Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-06-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 83 active physical therapist providers in Idaho.
NPI age
3 years
↓ 9 yr below median (12 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-06Enumerated in NPPES
2022
2026
Where they practice
Practice location
1250 W Bridge St
Blackfoot, ID 832215095
Mailing address
313 Park Ave
Pocatello, ID 832014506
Specialties
-
Physical Therapist PrimaryA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology,...
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.