NPI age
14 years
Enumerated 2011-12-01
● Active
Type 1 · Individual
Jerralyn R Wasylyshen, PT
Wasylyshen is 1 of 21 physical therapist providers in Chubbuck and 1 of 2006 in Idaho.
Primary specialty
Physical Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-12-01
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
14 years
↑ 3 yr above median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-12Enumerated in NPPES
2011
2026
Where they practice
Practice location
4650 Hawthorne Rd Ste 2b
Chubbuck, ID 832022376
Mailing address
Po Box 6032
Pocatello, ID 832056032
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.
Provyx · Custom healthcare lists
Need all 2006 Physical Therapist providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
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.