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

Ellis Physical Therapy and Associates LLC

Organization Physical Therapy Clinic/Center · NPI 1821628645

Ellis Physical Therapy and Associates LLC is a Physical Therapy Clinic/Center in Idaho Falls, Idaho. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3100 S Woodruff Ave
Idaho Falls, ID 83404-8310
Phone: (208) 523-8879
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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

Record details

NPI number1821628645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Logan Bradley — Owner · (208) 523-8879
NPI enumeratedJanuary 21, 2020
Last updated in NPPESJanuary 21, 2020
Certification dateJanuary 21, 2020
Mailing address3100 S Woodruff Ave, Idaho Falls, ID 83404-8310

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