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

Caleb Bake

Individual provider Physical Therapist · NPI 1225829245

Caleb Bake is a Physical Therapist in Private Practice in Idaho Falls, Idaho. Qualified in 2025, 1 year ago. Practices with Kylin Kovac DPM PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2025
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Practice location Address checks out

3830 Woodking Dr
Idaho Falls, ID 83404-4736
Phone: (208) 529-8393
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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 9071866 (ID)

Record details

NPI number1225829245
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 16, 2025
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing address3830 Woodking Dr, Idaho Falls, ID 83404-4736

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Kylin Kovac Dpm Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Idaho Falls