IndividualActive
Adam Beaderstadt, PTA
NPI 1730935420 · Physical Therapy Assistant · Idaho Falls, ID
Provider details
- NPI number
- 1730935420
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- PTA8267 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
2037 E 17th St
Idaho Falls, ID 83404-6430
Phone: (208) 529-3355
Fax: (208) 529-9581
Street-level locationGet directions
Mailing address
2037 E 17th St
Idaho Falls, ID 83404-6430
Registry dates
- Enumerated
- 2024-04-24
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.