NPI age
— years
Enumerated 2025-11-19
● Active Type 2 · Organization
Physio Shop Idaho Llc
Physio Shop Idaho Llc is 1 of 2006 physical therapist organizations in Idaho.
Primary specialty
Physical Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Physical Therapist
Last NPPES update
2025-11-19
Source: monthly bulk 2026-05
How this organization compares
Across 2006 active physical therapist providers in Idaho.
NPI age
0 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-11Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
2283 E 17th St
Idaho Falls, ID 83404
Mailing address
2283 E 17th St
Idaho Falls, ID 83404
Authorized official
Tyler L Johnson, PT, DPT
Physical Therapist
📞 2083171736
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Tyler Johnson, DPT Physical Therapist NPI 1285443820
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...
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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