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

Michael Rupp

Individual provider Orthopedic Physical Therapist · NPI 1184042129

Michael Rupp is a Physical Therapist in Private Practice in Idaho Falls, Idaho. Qualified in 2014, 12 years ago. Practices with Fremont Physical Therapy PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
12
Licensed in
ID
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

2640 Channing Way
Idaho Falls, ID 83404-7517
Phone: (208) 522-2248
Fax: (208) 522-2463
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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-3511 (ID)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence PT-3511 (ID)

Record details

NPI number1184042129
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2014
Last updated in NPPESSeptember 22, 2014

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 Fremont Physical Therapy Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Idaho Falls