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

Colby C Ebanks, PT, DPT

Individual provider Physical Therapist · NPI 1639745540

Colby C Ebanks, PT, DPT is a Physical Therapist in Private Practice in Idaho Falls, Idaho. Qualified in 2021, 5 years ago. Practices with Phoenix Physical Therapy PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1917 Mesa Canyon Dr
Idaho Falls, ID 83401-6518
Phone: (904) 383-9278
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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 7233 (ID)

Record details

NPI number1639745540
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 1, 2021
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address1917 Mesa Canyon Dr, Idaho Falls, ID 83401-6518

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Phoenix Physical Therapy Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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