P Praxis·MD
● Active Type 1 · Individual

David Lynn Andersen, R.P.T., L.A.T, A.T.C

Physical Therapist·Idaho Falls, ID· NPI 1265657001 · Enumerated 2007 · 19 years on NPI
Andersen is 1 of 96 physical therapist providers in Idaho Falls and 1 of 2006 in Idaho.
NPI age
19 years
Enumerated 2007-04-16
Primary specialty
Physical Therapist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2006 active physical therapist providers in Idaho.

NPI age
19 years
↑ 8 yr above median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
363 Tyra Dr
Idaho Falls, ID 834014437
📞 2086812525
Mailing address
363 Tyra Dr
Idaho Falls, ID 834014437
📞 2086812525

Specialties

  • Physical Therapist Primary
    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...
    ID license #PT-322 taxonomy 225100000X
  • Specialist/Technologist
    Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
    ID license #AT-004 taxonomy 2255A2300X

Identifiers

TypeValueNotes
05 (ID) 0043961

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 3 new physical therapist providers have been added in Idaho Falls in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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