P Praxis·MD
● Active Type 1 · Individual

DR. Ethan Aldon Tall, PT, DPT

Physical Therapist·Ammon, ID· NPI 1497696371 · Enumerated 2026 · 0 years on NPI
Tall is 1 of 21 physical therapist providers in Ammon and 1 of 2006 in Idaho.
NPI age
— years
Enumerated 2026-04-03
Primary specialty
Physical Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-04-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2006 active physical therapist providers in Idaho.

NPI age
0 years
↓ 11 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2026 → 2026

2026-04Enumerated in NPPES
2026 2026

Where they practice

Practice location
3630 S 25th E, Suite 4
Ammon, ID 83401
📞 2089704833
Mailing address
2230 Ptarmigan Way
Ammon, ID 834015898
📞 2089704833

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 #2071597 taxonomy 225100000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physical therapist provider has been added in Ammon 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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