NPI age
2 years
Enumerated 2024-04-24
● Active
Type 1 · Individual
Adam Beaderstadt, PTA
Beaderstadt is 1 of 28 physical therapy assistant providers in Idaho Falls and 1 of 272 in Idaho.
Primary specialty
Physical Therapy Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 272 active physical therapy assistant providers in Idaho.
NPI age
2 years
↓ 7 yr below median (9 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-04Enumerated in NPPES
2024
2026
Where they practice
Practice location
2037 E 17th St
Idaho Falls, ID 834046430
Mailing address
2037 E 17th St
Idaho Falls, ID 834046430
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | PTA8267 | PROFESSIONAL LICENSE |
Practice context
Part of a multi-provider practice. 6 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.