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

Dr. Jacob Benjamin Roberts, DPT

Individual provider Physical Therapist · NPI 1790989945

Dr. Jacob Benjamin Roberts, DPT is a Physical Therapist in Private Practice in Idaho Falls, Idaho. Qualified in 2007, 19 years ago. Practices with Eagle Rock Physical Therapy PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
19
Licensed in
ID
In the registry since
2007
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

1542 Elk Creek Dr Ste B
Idaho Falls, ID 83404-8322
Phone: (208) 521-7336
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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 PT - 2217 (ID)

Record details

NPI number1790989945
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 12, 2007
Last updated in NPPESJuly 31, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Eagle Rock Physical Therapy Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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