NPI age
19 years
Enumerated 2006-12-05
● Active
Type 1 · Individual
MR. Nicholas P Greenwell, MPT
Greenwell is 1 of 22 physical therapist providers in Burley and 1 of 2006 in Idaho.
Primary specialty
Physical Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-02-10
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
19 years
↑ 8 yr above median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
1263 Bennett Ave, Suite 2
Burley, ID 833182666
Mailing address
1263 Bennett Ave, Ste 2
Burley, ID 833184906
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 |
|---|---|---|
| 01 (ID) | T5311 | BLUE CROSS |
| 01 (ID) | 000010009167 | BLUE SHIELD |
| 05 (ID) | 805407400 |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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