Fitness Forward Physical Therapy PLLC
NPI 1881100261ActiveOrganization· Physical Therapy Assistant· Idaho Falls, ID
Physical Therapy Assistant in Idaho Falls, Idaho, registered in NPPES in December 2017. The authorized official on file is Jon Christopher Mallams, PTA, Pta/Owner.
Overview
| NPI | 1881100261 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 20, 2017 |
| Last updated in NPPES | Dec 20, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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