Physio Shop Idaho LLC
NPI 1750242889 · Physical Therapist · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Physio Shop Idaho LLC is a Physical Therapist organization in Idaho Falls, ID (NPI 1750242889).
Provider details
- NPI number
- 1750242889
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Tyler Johnson, Physical Therapist(208) 317-1736
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2025-11-19
- Last updated
- 2025-11-19
- Certified
- 2025-11-06
Frequently asked questions
- What is Physio Shop Idaho LLC's NPI number?
- Physio Shop Idaho LLC's National Provider Identifier (NPI) is 1750242889, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Physio Shop Idaho LLC?
- Physio Shop Idaho LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Physio Shop Idaho LLC located?
- Physio Shop Idaho LLC's practice location on file with NPPES is 2283 E 17th St, Idaho Falls, ID 83404.
- What is Physio Shop Idaho LLC's phone number?
- The practice phone number listed in the NPPES registry for Physio Shop Idaho LLC is (208) 317-1736.
- Does Physio Shop Idaho LLC accept Medicare?
- Physio Shop Idaho LLC 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 Physio Shop Idaho LLC?
- The authorized official listed on Physio Shop Idaho LLC's NPPES record is Tyler Johnson, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Physio Shop Idaho LLC's NPI active?
- Yes — Physio Shop Idaho LLC's NPI (1750242889) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.