NPI age
19 years
Enumerated 2006-12-05
● Active Type 2 · Organization
Burley Physical Therapy And Rehabilitation
Burley Physical Therapy And Rehabilitation is 1 of 120 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Greenwell
Office Manager
Last NPPES update
2018-06-21
Source: monthly bulk 2026-05
How this organization compares
Across 120 active clinic/center providers in Idaho.
NPI age
19 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 13% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1263 Bennett Ave, Suite 2
Burley, ID 833184906
Mailing address
1263 Bennett Ave, Suite 2
Burley, ID 833184906
Authorized official
Stacy Greenwell
Office Manager
📞 2086781191
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Nicholas Greenwell, MPT Physical Therapist NPI 1669530119
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...
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
-
Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010026864 | BLUE SHIELD |
| 01 (ID) | T8604 | BLUE CROSS |
Practice context
Multi-provider organization. 1 individual provider 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.