NPI age
6 years
Enumerated 2020-01-21
● Active Type 2 · Organization
Ellis Physical Therapy And Associates Llc
Ellis Physical Therapy And Associates Llc is 1 of 120 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bradley
Owner
Last NPPES update
2020-01-21
Source: monthly bulk 2026-05
How this organization compares
Across 120 active clinic/center providers in Idaho.
NPI age
6 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-01Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
3100 S Woodruff Ave
Idaho Falls, ID 834048310
Mailing address
3100 S Woodruff Ave
Idaho Falls, ID 834048310
Authorized official
Logan Bradley, DPT
Owner
📞 2085238879
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Braden Bennett, PT, DPT Physical Therapist NPI 1366161887
- Logan Bradley, DPT Physical Therapist NPI 1336661321
- Jay T Ellis, PT, DPT, CSCS Contractor NPI 1811924012
- Melina Harrington, DPT Physical Therapist NPI 1639756620
- John Henry Roberts Physical Therapist NPI 1508605957
- Vance Shurtliff, DPT Physical Therapist NPI 1780060624
- Kyle Telford, DPT Physical Therapist NPI 1700122470
- Candice Tovey, DPT Physical Therapist NPI 1194130856
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...
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 120 Clinic/Center providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.