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NPI 1164345005ActiveOrganization· Physical Therapist· Idaho Falls, ID

Physical Therapist in Idaho Falls, Idaho, registered in NPPES in July 2026. The authorized official on file is Heidi Duran, DPT, Owner.

Overview

NPI1164345005
StatusActive
Entity typeOrganization
NPI issuedJul 30, 2026
Last updated in NPPESJul 30, 2026
Certified by providerJul 8, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physical Therapist providers in Idaho Falls

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