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

Jordan Stoddard, DPT

Individual provider Sports Physical Therapist · NPI 1073115382

Jordan Stoddard, DPT is a Physical Therapist in Private Practice in Idaho Falls, Idaho. Qualified in 2014, 12 years ago. Practices with Empower PT, PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
12
Licensed in
ID
In the registry since
2020
Specialties on file
5
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

804 Pancheri Dr
Idaho Falls, ID 83402-3344
Phone: (208) 403-7422
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT-3572 (ID)
Sports Physical Therapist Taxonomy 2251S0007X
Cardiopulmonary Physical Therapist Taxonomy 2251C2600X
Geriatric Physical Therapist Taxonomy 2251G0304X
Pediatric Physical Therapist Taxonomy 2251P0200X

Record details

NPI number1073115382
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 11, 2020
Last updated in NPPESDecember 3, 2020
Certification dateDecember 3, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Empower Pt, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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