ELLIS PHYSICAL THERAPY AND ASSOCIATES LLC (NPI# 1821628645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821628645 |
| Entity Type | Organization |
| Organization Name | ELLIS PHYSICAL THERAPY AND ASSOCIATES LLC |
| Practice Address |
3100 S Woodruff Ave Idaho Falls ID 83404-8310 |
| Practice Telephone | 2085238879 |
| Mailing Telephone | 2085238879 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | DR. LOGAN BRADLEY (OWNER) |
| Authorized Official Telephone | 2085238879 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
3100 S WOODRUFF AVE |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-8310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811924012 | Jay T Ellis | Contractor | 3100 S Woodruff Ave, Idaho Falls, ID 83404-8310 | 2006-06-26 |
| 1124514286 | Cordell Pickering | Physical Therapist | 3100 S Woodruff Ave, Idaho Falls, ID 83404-8310 | 2018-07-02 |
| 1336661321 | Logan Bradley | Physical Therapist | 3100 S Woodruff Ave, Idaho Falls, ID 83404-8310 | 2017-07-11 |
| 1780060624 | Vance Shurtliff | Physical Therapist | 3100 S Woodruff Ave, Idaho Falls, ID 83404-8310 | 2015-08-03 |
| 1194130856 | Candice Laree Tovey | Physical Therapist | 3100 S Woodruff Ave, Idaho Falls, ID 83404-8310 | 2014-06-21 |
| 1518203249 | Ellis Physical Therapy P A | Physical Therapist | 3100 S Woodruff Ave, Idaho Falls, ID 83404-8310 | 2012-12-28 |
| 1922344696 | Scott Young Toronto | Physical Therapist | 3100 S Woodruff Ave, Idaho Falls, ID 83404-8310 | 2012-12-27 |
| 1700122470 | Kyle Preston Telford | Physical Therapist | 3100 S Woodruff Ave, Idaho Falls, ID 83404-8310 | 2012-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1609068295 | Sterling Management and Consulting, LLC | Clinic/Center | 5412 S House Rock Cir, Idaho Falls, ID 83406-8336 | 2007-08-16 |
| 1881226652 | Strider Physical Therapy | Clinic/Center | 3155 Channing Way Ste A, Idaho Falls, ID 83404-7875 | 2020-02-10 |
| 1326443607 | Pediatric Development Clinic | Clinic/Center | 4846 Wind River Rd, Idaho Falls, ID 83401-5828 | 2014-10-28 |
| 1649449430 | Eagle Rock Physical Therapy | Clinic/Center | 1542 Elk Creek Dr, Suite B, Idaho Falls, ID 83404-8322 | 2008-02-26 |
| 1174712418 | Eagle Rock Physical Therapy Pllc | Clinic/Center | 3422 S 15th E, Idaho Falls, ID 83404-8262 | 2007-10-23 |
| 1831211093 | Foothills Rehabilitation & Performance Services | Clinic/Center | 3814 Washington Pkwy, Idaho Falls, ID 83404-7591 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150581 | Meridian Mama's Physical Therapy | Clinic/Center | 309 W Emma Ave, Coeur D Alene, ID 83814-2522 | 2020-09-30 |
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1356964449 | Vibrant Physical Therapy & Wellness | Clinic/Center | 1111 S Orchard St Ste 104, Boise, ID 83705-1961 | 2020-05-22 |
| 1477193795 | Zona Physical Therapy | Clinic/Center | 11483 W Fairview Ave, Boise, ID 83713-7940 | 2020-01-15 |
| 1225676372 | Mike Dusbabek Physical Therapy, Pllc | Clinic/Center | 609 S Dollar St, Coeur D Alene, ID 83814-3828 | 2019-12-19 |
| 1922665934 | Dahle Physical Therapy, Pllc | Clinic/Center | 812 Shoup St., Salmon, ID 83467-4305 | 2019-05-24 |
| 1598222713 | Salmon Speech and Swallowing Service | Clinic/Center | 700 Riverfront Dr Rm 1, Salmon, ID 83467-5190 | 2019-02-24 |
| 1427565845 | Premier Physical Therapy Inc | Clinic/Center | 13967 W Wainwright Dr Ste 104, Boise, ID 83713-2094 | 2018-01-08 |
| 1790294973 | The Pt Next Door | Clinic/Center | 6098 E. Grand Prairie Drive, Boise, ID 83716 | 2017-09-20 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on ELLIS PHYSICAL THERAPY AND ASSOCIATES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.