IDAHO FAMILY PT
NPI 1184335184
Clinic/Center - Physical Therapy in Nampa, ID

Active since December 09, 2022
2422 12TH AVE RD, NAMPA, ID 83686(425) 375-8991 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 13, 2023, Jan 23, 2023, Jan 7, 2023 and 2 more (5 updates tracked since 2022).

About Idaho Family Pt NPPES

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

IDAHO FAMILY PT (NPI 1184335184) is a healthcare organization registered as a physical therapy in Nampa, Idaho and active in the NPI registry since December 2022. The organization lists Connor Todd Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1184335184
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameIDAHO FAMILY PHYSICAL THERAPY PLLC
Location Address2422 12TH AVE RDNampa, ID 83686-6300
Mailing Address833 Chicago StNampa, ID 83686-7301 · (208) 466-0566 · Fax (208) 697-5213
Organization SubpartNo
Authorized OfficialConnor Todd BrownOwner · (425) 375-8991
Enumeration DateDecember 9, 2022
Last NPPES UpdateFebruary 13, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2023
✔ NPI 1184335184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
2422 12TH AVE RD, Nampa, ID 83686

Other Names 1

Doing Business AsIdaho Family Pt

Other Identifiers 1

Medicaid1235713090ID

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)

Idaho Family Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Idaho Family Pt, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Physical Therapist in Private Practice
NPI 1235713090
2422 12TH AVE RD
Nampa, ID 83686
(208) 466-0566
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1871067363
3155 CHANNING WAY STE D
Idaho Falls, ID 83404
(208) 552-2700
✔ Accepts Medicare230 mi
Physical Therapist in Private Practice
NPI 1851557805
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
Milwaukie, OR 97222
(971) 206-5167
✔ Accepts Medicare326 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 Idaho Family Physical Therapy PLLC's NPI number?

The NPI number for Idaho Family Physical Therapy PLLC is 1184335184. It was assigned to this organization in the NPPES registry on December 9, 2022. The provider is doing business as Idaho Family Pt.

Where is Idaho Family Physical Therapy PLLC located?

Idaho Family Physical Therapy PLLC is located at 2422 12th Ave Rd, Nampa, ID 83686. The listed phone number is (425) 375-8991.

What is Idaho Family Physical Therapy PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Idaho Family Physical Therapy PLLC enrolled in Medicare?

Yes. Idaho Family Physical Therapy PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idaho Family Physical Therapy PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Idaho Family 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Idaho Family Physical Therapy PLLC accept?

Health plans from Moda Health Plan, Inc. list Idaho Family 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 Idaho Family Physical Therapy PLLC was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.