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

Idaho Falls Physical Medicine & Rehabilitation

Organization Physical Medicine & Rehabilitation Physician · NPI 1508086018

Idaho Falls Physical Medicine & Rehabilitation is a Physical Medicine & Rehabilitation Physician in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007

Practice location Address checks out

2860 Channing Way Ste 213
Idaho Falls, ID 83404-7531
Phone: (208) 535-4420
Fax: (208) 535-4427
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence M6825 (ID)

Record details

NPI number1508086018
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Simon — President · (208) 535-4420
NPI enumeratedApril 26, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2860 Channing Way, Suite 213, Idaho Falls, ID 83404-7531

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