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

Stanley Ryan Peck, PT, DPT

Individual provider Physical Therapist · NPI 1548815079

Stanley Ryan Peck, PT, DPT is a Physical Therapist in Private Practice in Twin Falls, Idaho. Qualified in 2019, 7 years ago. Practices with Bodybalance PT Twin Falls LLC, a 7-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1053 Eastland Dr
Twin Falls, ID 83301-6747
Phone: (208) 736-9011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 423 Idaho St, Gooding, ID 83330-1258 — (208) 736-9011
  • 1053 Eastland Dr, Twin Falls, ID 83301-6747 — (208) 736-9011

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT6264 (ID)

Record details

NPI number1548815079
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 1, 2019
Last updated in NPPESAugust 1, 2019
Mailing address478 Lois St, Twin Falls, ID 83301-7636

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Bodybalance Pt Twin Falls Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Twin Falls