NPI age
5 years
Enumerated 2020-11-19
● Active Type 2 · Organization
Idaho Direct Physical Therapy, Pllc
Idaho Direct 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
Burke
Owner
Last NPPES update
2020-11-19
Source: monthly bulk 2026-05
How this organization compares
Across 120 active clinic/center providers in Idaho.
NPI age
5 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-11Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
1559 N Stevens Dr Apt B
Idaho Falls, ID 834013947
Mailing address
1559 N Stevens Dr Apt B
Idaho Falls, ID 834013947
Authorized official
Tyler J Burke, DPT
Owner
📞 8155453996
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...
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 120 Clinic/Center providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.