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

Fitness Forward Physical Therapy PLLC

Organization Physical Therapy Assistant · NPI 1881100261

Fitness Forward Physical Therapy PLLC is a Physical Therapy Assistant in Idaho Falls, Idaho. Registered with an NPI since 2017.

In the registry since
2017
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

1775 E 17th St Ste D
Idaho Falls, ID 83404-4902
Phone: (208) 243-9999
Fax: (208) 243-9999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1881100261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Mallams — Pta/Owner · (208) 424-3999
NPI enumeratedDecember 20, 2017
Last updated in NPPESDecember 20, 2017
Mailing address1775 E 17th St Ste D, Idaho Falls, ID 83404-4902

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