Autumn Grove
Physical Therapist · Hayden, ID
Autumn Grove is a physical therapist with a practice address in Hayden, Idaho, and NPI 1033596747, issued on May 1, 2015. Check the license (Idaho PT-5390, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Autumn Grove
- Primary taxonomy
- Physical Therapist 225100000X
- License numbers
- PT-5390 ID
PTL. 0013479 CO
Self-reported in NPPES; status is on the state search - Practice location
- 8238 N Government Way, Hayden, ID 83835
- Phone
- (208) 762-2100
- Enumerated
- May 1, 2015
- Record last updated
- Aug 1, 2024
- Fax
- (208) 762-2101
- Medicare enrollment
- Enrolled (PECOS I20240102003960); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 8238 N Government Way
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sheree Dibiase, PTPhysical Therapist1396813309
- Savanna Edson, PTPhysical Therapist1447925680
Verify Autumn Grove in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license PT-5390Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Lake City Physical Therapy P AHayden, ID
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
26 physical therapist records list a practice address in Hayden
They are 26 of the 348 NPPES records with a practice address in Hayden, and 1,768 physical therapist records in Idaho.
All 26 in Hayden → All 1,768 in Idaho → Every provider in Hayden →
Other physical therapist records in Idaho
- Christopher Aaron, PT, DPT, LAT, ATCNampa, ID1730712159
- Jason Aberg, DPTBoise, ID1982611836
- Janelle Acheson, PT, DPTPost Falls, ID1902381049
- Jerrod AckermanBoise, ID1487067005
- Susan Ackerman, DPTNampa, ID1437534781
- Austin Adams, DPTBoise, ID1356953301
- Kendall Adams, DPTIdaho Falls, ID1821598178
- Mark Adams, PTBoise, ID1659014926
- Robert Adams, MPTBoise, ID1881775633
- Kelly AdamsonBoise, ID1952781304
Common questions
What is Autumn Grove's NPI number?
Autumn Grove's National Provider Identifier (NPI) is 1033596747, issued on May 1, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Autumn Grove located?
The NPPES record lists a practice address at 8238 N Government Way, Hayden, ID, 83835. Phone: (208) 762-2100. Providers update this record themselves, so call before visiting.
How can I verify Autumn Grove's license?
NPPES lists Idaho license number PT-5390, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.