NPI age
19 years
Enumerated 2007-04-22
● Active Type 2 · Organization
Channing Physical Therapy Pc
Channing Physical Therapy Pc is 1 of 305 specialist organizations in Idaho.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Adams
Billing Manager
Last NPPES update
2018-06-21
Source: monthly bulk 2026-05
How this organization compares
Across 305 active specialist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2570 Channing Way
Idaho Falls, ID 834047515
Mailing address
2570 Channing Way
Idaho Falls, ID 834047515
Authorized official
Meisha Adams
Billing Manager
📞 2085298005
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Adam Balmforth, DPT Physical Therapist NPI 1457709081
- Shayleigh Davis, PTA Physical Therapy Assistant NPI 1811708613
- Brenda Fritz, MPT Specialist NPI 1093860710
- Bryan Huntsman, M.S., P.T. Specialist NPI 1851446561
- Bryan Huntsman, DPT Physical Therapist NPI 1154944262
- Lynn Woodland, M.S. P.T. Specialist NPI 1679628457
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805633700 | |
| 01 (ID) | T-097-3 | BC OF IDAHO GROUP ID# |
| 01 (ID) | 39012 | BS OF IDAHO GROUP ID# |
Practice context
Multi-provider organization. 6 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 →
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