NPI age
3 years
Enumerated 2022-08-31
● Active
Type 1 · Individual
Mikayla Andersen
Andersen is 1 of 28 physical therapy assistant providers in Idaho Falls and 1 of 272 in Idaho.
Primary specialty
Physical Therapy Assistant
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-08-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 272 active physical therapy assistant providers in Idaho.
NPI age
3 years
↓ 6 yr below median (9 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-08Enumerated in NPPES
2022
2026
Where they practice
Practice location
1460 Elk Creek Dr
Idaho Falls, ID 834048237
Mailing address
842 E 1425 N
Shelley, ID 832745173
Specialties
-
Physical Therapy Assistant Primary(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
Practice context
Part of a multi-provider practice. 73 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new physical therapy assistant providers have been added in Idaho Falls in the last 180 days.
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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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.