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

Brandon Phoenix Kallgren, DPT

Individual provider Physical Therapist · NPI 1265317341

Brandon Phoenix Kallgren, DPT is a Physical Medicine and Rehabilitation in Idaho Falls, Idaho. Qualified in 2025, 1 year ago. Practices with Pick PT Ammon LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3155 Channing Way Ste D
Idaho Falls, ID 83404-7875
Phone: (208) 973-4170
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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 5171576 (ID)

Record details

NPI number1265317341
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 8, 2025
Last updated in NPPESAugust 8, 2025
Certification dateAugust 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Pick Pt Ammon Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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