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

Rebecca Bronner, PT

Individual provider Physical Therapist · NPI 1649663428

Rebecca Bronner, PT is a Physical Therapist in Private Practice in Eagle, Idaho. Qualified in 2004, 22 years ago. Practices with Eagle Physical Therapy PA, a 6-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
22
Licensed in
ID, WA
In the registry since
2015
Specialties on file
2
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

457 S Fitness Pl Ste 100
Eagle, ID 83616-6568
Phone: (208) 939-3332
Fax: (208) 939-3338
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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-7782 (ID)
Physical Therapist Taxonomy 225100000X · Licence 00010347 (WA)

Record details

NPI number1649663428
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 18, 2015
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Eagle Physical Therapy Pa — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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