Eagle Rock Physical Therapy PLLC
NPI 1174712418 · Physical Therapy Clinic/Center · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eagle Rock Physical Therapy PLLC is a Physical Therapy Clinic/Center organization in Idaho Falls, ID (NPI 1174712418).
Provider details
- NPI number
- 1174712418
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Roberts, Physical Therapist(208) 521-7336
- License
- PT-2217 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-23
- Last updated
- 2021-04-19
- Certified
- 2021-04-19
Frequently asked questions
- What is Eagle Rock Physical Therapy PLLC's NPI number?
- Eagle Rock Physical Therapy PLLC's National Provider Identifier (NPI) is 1174712418, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagle Rock Physical Therapy PLLC?
- Eagle Rock Physical Therapy PLLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Eagle Rock Physical Therapy PLLC located?
- Eagle Rock Physical Therapy PLLC's practice location on file with NPPES is 1510 Elk Creek Dr, Idaho Falls, ID 83404-8322.
- What is Eagle Rock Physical Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Eagle Rock Physical Therapy PLLC is (208) 522-7627.
- Does Eagle Rock Physical Therapy PLLC accept Medicare?
- Eagle Rock Physical Therapy PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eagle Rock Physical Therapy PLLC?
- The authorized official listed on Eagle Rock Physical Therapy PLLC's NPPES record is Jacob Roberts, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagle Rock Physical Therapy PLLC's NPI active?
- Yes — Eagle Rock Physical Therapy PLLC's NPI (1174712418) is active in the NPPES registry as of the last update on 2021-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.