Physical Therapist
BRENDA JERALD DPT
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1679853501 · enumerated 2011-08-23 · record updated 2026-05-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: BRENDA MITCHELL
Addresses and phones
- Practice location 30544 HIGHWAY 200 STE 326, PONDERAY, ID, 83852-5042 (208) 205-9559 Google Maps Apple Maps OpenStreetMap
- Mailing address 1917 N LAKEWOOD DR, COEUR D ALENE, ID, 83814-2634 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary · License PT-2889 ID
In this directory
Locations and evidence
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Practice location
PONDERAY, ID, 838525042
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.