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Ellis Physical Therapy P A

NPI 1518203249ActiveOrganization· Physical Therapist· Idaho Falls, ID

Physical Therapist in Idaho Falls, Idaho, registered in NPPES in December 2012. The authorized official on file is Terri L. Larsen, Office Manager.

Overview

NPI1518203249
StatusActive
Entity typeOrganization
NPI issuedDec 28, 2012
Last updated in NPPESApr 20, 2018

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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