OrganizationActive
Eagle Rock Physical Therapy PLLC
NPI 1174712418 · Physical Therapy Clinic/Center · Idaho Falls, ID
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
Practice location
1510 Elk Creek Dr
Idaho Falls, ID 83404-8322
Phone: (208) 522-7627
Fax: (208) 524-6300
Approximate (ZIP-level) locationGet directions
Mailing address
1510 Elk Creek Dr
Idaho Falls, ID 83404-8322
Registry dates
- Enumerated
- 2007-10-23
- Last updated
- 2021-04-19
- Certified
- 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.