OrganizationActive
Idaho Direct Physical Therapy, PLLC
NPI 1518560671 · Physical Therapy Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1518560671
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tyler Burke, Owner(815) 545-3996
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1559 N Stevens Dr Apt B
Idaho Falls, ID 83401-3947
Phone: (815) 545-3996
Street-level locationGet directions
Mailing address
1559 N Stevens Dr Apt B
Idaho Falls, ID 83401-3947
Registry dates
- Enumerated
- 2020-11-19
- Last updated
- 2020-11-19
- Certified
- 2020-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.