FOOTHILLS REHABILITATION & PERFORMANCE SERVICES, PLLC
NPI 1063829836
Physical Therapist in Idaho Falls, ID

Active since July 14, 2014
3715 WOODKING DR, IDAHO FALLS, ID 83404(208) 529-2255(208) 529-2022 Get Directions Write a Review

NPPES record last updated: September 5, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Foothills Rehabilitation & Performance Services, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOOTHILLS REHABILITATION & PERFORMANCE SERVICES, PLLC (NPI 1063829836) is a healthcare organization registered as a physical therapist in Idaho Falls, Idaho and active in the NPI registry since July 2014. The organization lists Brent Kennedy, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1063829836
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameFOOTHILLS REHABILITATION & PERFORMANCE SERVICES, PLLC
Location Address3715 WOODKING DRIdaho Falls, ID 83404-4720
Mailing Address3715 Woodking DrIdaho Falls, ID 83404-4720 · (208) 529-2255 · Fax (208) 529-2022
Fax(208) 529-2022
Organization SubpartNo
Authorized OfficialBrent KennedyOwner/manager · (208) 529-2255
Enumeration DateJuly 14, 2014
Last NPPES UpdateSeptember 5, 2014
✔ NPI 1063829836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in ID · PT-1740
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
3715 WOODKING DR, Idaho Falls, ID 83404

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Foothills Rehabilitation & Performance Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Foothills Rehabilitation & Performance Services, PLLC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Qualified Speech Language Pathologist6
Occupational Therapist in Private Practice4
Physical Therapist in Private Practice3

Clinicians, nearest first (13)

Qualified Speech Language Pathologist
NPI 1144743329
3715 WOODKING DR
Idaho Falls, ID 83404
(208) 529-2255
✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1689082521
3715 WOODKING DR
Idaho Falls, ID 83404
(208) 529-2255
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1275932428
3715 WOODKING DR
Idaho Falls, ID 83404
(208) 529-2255
✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1669880670
3715 WOODKING DR
Idaho Falls, ID 83404
(208) 529-2255
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1295135028
3715 WOODKING DR
Idaho Falls, ID 83404
(208) 521-3253
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1295855112
3715 WOODKING DR
Idaho Falls, ID 83404
(208) 529-2255
Same address
Qualified Speech Language Pathologist
NPI 1730597725
3715 WOODKING DR
Idaho Falls, ID 83404
(208) 529-2255
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1265635684
3715 WOODKING DR
Idaho Falls, ID 83404
(208) 529-2255
Same address
Occupational Therapist in Private Practice
NPI 1134848286
3715 WOODKING DR
Idaho Falls, ID 83404
(208) 529-2255
Same address
Qualified Speech Language Pathologist
NPI 1811007784
3715 WOODKING DR
Idaho Falls, ID 83404
(208) 589-8381
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1932325974
3814 WASHINGTON PKWY
Idaho Falls, ID 83404
(208) 529-3562
✔ Accepts Medicare0.5 mi
Occupational Therapist in Private Practice
NPI 1306218458
2175 N 45TH E
Idaho Falls, ID 83401
(208) 709-7114
4.1 mi
Qualified Speech Language Pathologist
NPI 1730589532
14236 N 5TH E
Idaho Falls, ID 83401
(208) 221-1094
✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Foothills Rehabilitation & Performance Services, PLLC's NPI number?

The NPI number for Foothills Rehabilitation & Performance Services, PLLC is 1063829836. It was assigned to this organization in the NPPES registry on July 14, 2014.

Where is Foothills Rehabilitation & Performance Services, PLLC located?

Foothills Rehabilitation & Performance Services, PLLC is located at 3715 Woodking Dr, Idaho Falls, ID 83404. The listed phone number is (208) 529-2255.

What is Foothills Rehabilitation & Performance Services, PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Foothills Rehabilitation & Performance Services, PLLC enrolled in Medicare?

Yes. Foothills Rehabilitation & Performance Services, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Foothills Rehabilitation & Performance Services, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Foothills Rehabilitation & Performance Services, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Qualified Speech Language Pathologist (6), Occupational Therapist in Private Practice (4) and Physical Therapist in Private Practice (3). Of these, 10 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Foothills Rehabilitation & Performance Services, PLLC accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare and University of Utah Health Plans list Foothills Rehabilitation & Performance Services, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Foothills Rehabilitation & Performance Services, PLLC was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.