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

Northrup Physical Therapy, PC

Organization Physical Therapist · NPI 1629146857

Northrup Physical Therapy, PC is a Physical Therapist in Chubbuck, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4473 Fox Ct
Chubbuck, ID 83202-2670
Phone: (208) 221-6952
Fax: (208) 236-6695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT1280 (ID)

Record details

NPI number1629146857
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derrick Northrup — Owner President · (208) 221-6952
NPI enumeratedDecember 4, 2006
Last updated in NPPESJuly 12, 2007
Mailing address4473 Fox Ct, Chubbuck, ID 83202-2670

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