Organization
PMD THERAPIES, PLLC
Active
Other names
Rexburg Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL M DYE MPT., MOTR/L., ATC (OWNER/MANAGER)
(208) 356-0174
Entity
Organization
Contact information
Practice address
36 WINN DRIVE, SUITE 100, REXBURG, ID 83440
(208) 356-0174
(208) 356-0176
Mailing address
36 WINN DRIVE, SUITE 100, REXBURG, ID 83440
(208) 356-0174
(208) 356-0176
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
AT-142
ID
174400000X
Specialist
OT-711
ID
174400000X
Specialist
PT-1920
ID
225100000X
Physical Therapist
Primary
PT-1920
ID
2255A2300X
Athletic Trainer
AT-142
ID
225X00000X
Occupational Therapist
OT-711
ID
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807252700
—
ID
01
—
887408
DMBA
ID
01
—
TC134
BLUE CROSS CLINIC
ID
01
—
TC142
BLUE CROSS PT
ID
Enumeration date
08/02/2006
Last updated
11/13/2025
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