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Active NPI 1245901354 Individual Practitioner Female Practitioner

Dr. Marissa Shupperd , DPT

Physical Therapist • Eagle, ID

Professional Overview & Biography Verified Profile Summary

Dr. Marissa Shupperd, DPT is a registered healthcare professional specializing in Physical Therapist in Eagle, ID. Practice services are available at 775 S RIVERSHORE LN STE 220 under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using manual technique, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

775 S Rivershore Ln Ste 220

Eagle, ID 836165783

Telephone 2084358662
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Eagle, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
55 Specialists

Practicing in Eagle, ID (1782 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
11.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes
295 19 $21.89 $20.06
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
157 20 $32.28 $27.75

Medical Specialties & State Licenses

CMS Verified: 2024-01-26
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

Physical 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 to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Hannah Hanks , DPT

Physical Therapist

NPI 1619690690

Doctor of Physical Therapy

NPI 1720640998

Physical Therapist, Doctor of Physical Therapy, Certified Athletic Trainer

Ma'lady Kynaston , PTA

Physical Therapy Assistant

NPI 1811720121

Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 26, 2024

Registered at 775 S RIVERSHORE LN STE 220, EAGLE, ID 836165783 (Tel: 2084358662)

📍
Updated Business Mailing Address January 26, 2024

Registered at 775 S RIVERSHORE LN STE 220, EAGLE, ID 836165783 (Tel: 2084358662)

👤
Provider Name / Credentials Updated January 26, 2024

Recorded as MARISSA SHUPPERD, DPT

NPI Profile Active September 28, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2021

Registered at 280 COMMERCE ST STE 115, SOUTHLAKE, TX 760927544 (Tel: 8179121420)

📍
Updated Business Mailing Address September 28, 2021

Registered at 280 COMMERCE ST STE 115, SOUTHLAKE, TX 760927544 (Tel: 8179121420)

👤
Provider Name / Credentials Updated September 28, 2021

Recorded as MARISSA COLLIER, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2021

Physical Therapist

🟢
Initial NPI Registration & Enumeration September 28, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245901354
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2021
Last Update: January 26, 2024
Sole Proprietor: Yes

Mailing Address

775 S Rivershore Ln Ste 220

Eagle, ID 836165783

Phone: 2084358662

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.