OrganizationActive
Middleton Physical Therapy, LLC
NPI 1477190858 · Physical Therapist · Middleton, ID
Provider details
- NPI number
- 1477190858
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Marc Grow, Owner/Physical Therapist(208) 850-8295
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1020 W Main St
Middleton, ID 83644-5270
Phone: (208) 585-3932
Fax: (208) 565-2218
Street-level locationGet directions
Mailing address
1020 W Main St
Middleton, ID 83644-5270
Registry dates
- Enumerated
- 2019-12-05
- Last updated
- 2020-03-17
- Certified
- 2020-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.