Ellis Physical Therapy and Associates LLC
NPI 1821628645 · Physical Therapy Clinic/Center · 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)
Ellis Physical Therapy and Associates LLC is a Physical Therapy Clinic/Center organization in Idaho Falls, ID (NPI 1821628645).
Provider details
- NPI number
- 1821628645
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Logan Bradley, Owner(208) 523-8879
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2020-01-21
- Last updated
- 2020-01-21
- Certified
- 2020-01-21
Frequently asked questions
- What is Ellis Physical Therapy and Associates LLC's NPI number?
- Ellis Physical Therapy and Associates LLC's National Provider Identifier (NPI) is 1821628645, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ellis Physical Therapy and Associates LLC?
- Ellis Physical Therapy and Associates LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ellis Physical Therapy and Associates LLC located?
- Ellis Physical Therapy and Associates LLC's practice location on file with NPPES is 3100 S Woodruff Ave, Idaho Falls, ID 83404-8310.
- What is Ellis Physical Therapy and Associates LLC's phone number?
- The practice phone number listed in the NPPES registry for Ellis Physical Therapy and Associates LLC is (208) 523-8879.
- Does Ellis Physical Therapy and Associates LLC accept Medicare?
- Ellis Physical Therapy and Associates 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 Ellis Physical Therapy and Associates LLC?
- The authorized official listed on Ellis Physical Therapy and Associates LLC's NPPES record is Logan Bradley, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ellis Physical Therapy and Associates LLC's NPI active?
- Yes — Ellis Physical Therapy and Associates LLC's NPI (1821628645) is active in the NPPES registry as of the last update on 2020-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.