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Ellis Physical Therapy and Associates LLC

Physical Therapy Clinic/Center in Idaho Falls, ID · enumerated 2020 · authorized official Logan Bradley, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821628645

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Registry record

Entity type Organization (Type 2)
Legal business name Ellis Physical Therapy and Associates LLC
Practice address 3100 S Woodruff Ave, Idaho Falls, ID, 83404
Phone (208) 523-8879
Enumeration date Jan 21, 2020
Last updated in NPPES Jan 21, 2020

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Logan Bradley
Title Owner
Phone (208) 523-8879

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Ellis Physical Therapy and Associates LLC?
NPPES lists Logan Bradley (Owner) as the authorized official for this organization.
What is the NPI number for Ellis Physical Therapy and Associates LLC?
The NPI for Ellis Physical Therapy and Associates LLC is 1821628645, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-21.