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

John Henry Allen Roberts

Individual provider Physical Therapist · NPI 1508605957

John Henry Allen Roberts is a Physical Therapist in Private Practice in Idaho Falls, Idaho. Qualified in 2024, 2 years ago. Practices with Ellis Physical Therapy and Associates LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2024
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Practice location Address checks out

3100 S Woodruff Ave
Idaho Falls, ID 83404-8310
Phone: (208) 523-8879
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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-9710 (ID)

Record details

NPI number1508605957
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 23, 2024
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ellis Physical Therapy And Associates Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Idaho Falls