EAGLE ROCK PHYSICAL THERAPY PLLC
NPI 1174712418
Clinic/Center - Physical Therapy in Idaho Falls, ID
About Eagle Rock Physical Therapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAGLE ROCK PHYSICAL THERAPY PLLC (NPI 1174712418) is a healthcare organization registered as a physical therapy in Idaho Falls, Idaho and active in the NPI registry since October 2007. The organization lists Jacob Benjamin Roberts, Physical Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Eagle Rock Physical Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Eagle Rock Physical Therapy PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Eagle Rock Physical Therapy PLLC's NPI number?
The NPI number for Eagle Rock Physical Therapy PLLC is 1174712418. It was assigned to this organization in the NPPES registry on October 23, 2007.
Where is Eagle Rock Physical Therapy PLLC located?
Eagle Rock Physical Therapy PLLC is located at 1510 Elk Creek Dr, Idaho Falls, ID 83404. The listed phone number is (208) 522-7627.
What is Eagle Rock Physical Therapy PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Eagle Rock Physical Therapy PLLC enrolled in Medicare?
Yes. Eagle Rock Physical Therapy PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eagle Rock Physical Therapy PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Eagle Rock Physical Therapy 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Eagle Rock Physical Therapy PLLC accept?
Health plans from University of Utah Health Plans list Eagle Rock Physical Therapy 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 Eagle Rock Physical Therapy PLLC was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Eagle Rock Physical Therapy Pllc · NPI 1174712418
Physical Therapy organization in Idaho Falls, Idaho. Organization record, active in the CMS NPPES registry since October 23, 2007.
## Identity
- **NPI:** 1174712418 (Entity type: Organization)
- **Enumerated:** October 23, 2007
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Jacob Roberts, PHYSICAL THERAPIST
## Practice location
- **Address:** 1510 ELK CREEK DR, Idaho Falls, ID 83404-8322
- **Phone:** (208) 522-7627 · **Fax:** (208) 524-6300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174712418) · Data from the CMS NPPES public registry.