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

Nathan Spencer, PT

Individual provider Physical Therapy Assistant · NPI 1063106433

Nathan Spencer, PT is a Physical Therapist in Private Practice in Eagle, Idaho. Qualified in 2023, 3 years ago. Practices with Foothills Physical Therapy PA, a 27-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

645 E State St Ste 101
Eagle, ID 83616-5915
Phone: (208) 939-9594
Fax: (208) 939-9828
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PT-8584 (ID)

Record details

NPI number1063106433
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 7, 2023
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023
Mailing address645 E State St Ste 101, Eagle, ID 83616-5915

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Foothills Physical Therapy Pa — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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