Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eagle Rock Physical Therapy PLLC

Organization Physical Therapy Clinic/Center · NPI 1174712418

Eagle Rock Physical Therapy PLLC is a Physical Therapy Clinic/Center in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1510 Elk Creek Dr
Idaho Falls, ID 83404-8322
Phone: (208) 522-7627
Fax: (208) 524-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence PT-2217 (ID)

Record details

NPI number1174712418
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Roberts — Physical Therapist · (208) 521-7336
NPI enumeratedOctober 23, 2007
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021
Mailing address1510 Elk Creek Dr, Idaho Falls, ID 83404-8322

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