NPI age
3 years
Enumerated 2022-12-09
● Active Type 2 · Organization
Idaho Family Physical Therapy Pllc
Idaho Family Physical Therapy Pllc is 1 of 120 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brown
Owner
Last NPPES update
2023-02-13
Source: monthly bulk 2026-05
How this organization compares
Across 120 active clinic/center providers in Idaho.
NPI age
3 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-12Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
2422 12th Ave Rd
Nampa, ID 836866300
Mailing address
833 Chicago St
Nampa, ID 836867301
Authorized official
Connor Todd Brown, PT, DPT, CERTDN
Owner
📞 4253758991
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Connor Brown, DPT Physical Therapist NPI 1235713090
- Mark Wiseman, LPC Counselor NPI 1376847269
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1235713090 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Idaho Family PT
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.