NPI age
13 years
Enumerated 2012-12-28
● Active Type 2 · Organization
Ellis Physical Therapy P A
Ellis Physical Therapy P A is 1 of 2006 physical therapist organizations in Idaho.
Primary specialty
Physical Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Larsen
Office Manager
Last NPPES update
2018-04-20
Source: monthly bulk 2026-05
How this organization compares
Across 2006 active physical therapist providers in Idaho.
NPI age
13 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-12Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
3100 S Woodruff Ave
Idaho Falls, ID 834048310
Mailing address
Po Box 1463
Idaho Falls, ID 834031463
Authorized official
Terri L Larsen
Office Manager
📞 2085238879
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Braden Bennett, PT, DPT Physical Therapist NPI 1366161887
- Logan Bradley, DPT Physical Therapist NPI 1336661321
- Jay T Ellis, PT, DPT, CSCS Contractor NPI 1811924012
- Melina Harrington, DPT Physical Therapist NPI 1639756620
- John Henry Roberts Physical Therapist NPI 1508605957
- Vance Shurtliff, DPT Physical Therapist NPI 1780060624
- Kyle Telford, DPT Physical Therapist NPI 1700122470
- Candice Tovey, DPT Physical Therapist NPI 1194130856
Specialties
-
Physical Therapist PrimaryPhysical 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 804274500 |
Practice context
Multi-provider organization. 8 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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.