NPI age
3 years
Enumerated 2022-10-06
● Active Type 2 · Organization
208 Physical Therapy Llc
208 Physical Therapy Llc is 1 of 83 physical therapist organizations in Idaho.
Primary specialty
Physical Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nelson
Owner
Last NPPES update
2023-02-22
Source: monthly bulk 2026-05
How this organization compares
Across 83 active physical therapist providers in Idaho.
NPI age
3 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-10Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
1120 Stocks Ave Ste C
Rexburg, ID 834403590
Mailing address
1940 S Bonito Way Ste 190
Meridian, ID 836425618
Authorized official
Tyrel Nelson, PT, DPT
Owner
📞 2082010365
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Tyrel Nelson, PT Physical Therapist NPI 1477045581
Specialties
-
Physical Therapist PrimaryA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1477045581 | MEDICARE |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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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.