BRADEN BENNETT PT, DPT
NPI 1366161887
Physical Therapist in Idaho Falls, ID

Active since August 26, 2022
3100 S WOODRUFF AVE, IDAHO FALLS, ID 83404(208) 523-8879 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Braden Bennett Pt, Dpt NPPES

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

BRADEN BENNETT PT, DPT (NPI 1366161887) is an individual physical therapist in Idaho Falls, Idaho, licensed in Idaho (PT-8106) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1366161887
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameBRADEN BENNETTCredential: PT, DPT
Location Address3100 S WOODRUFF AVEIdaho Falls, ID 83404-8310
Mailing Address5267 Barton PlAmmon, ID 83406-5047 · (208) 705-0324
Sole ProprietorNo
Enumeration DateAugust 26, 2022
NPPES CertifiedAugust 26, 2022
✔ NPI 1366161887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in ID · PT-8106
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.
3100 S WOODRUFF AVE, Idaho Falls, ID 83404

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Braden Bennett Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Braden Bennett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
3100 S WOODRUFF AVE
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 5 clinicians in this Medicare group
Physical Therapist
2283 E 17TH ST
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 2 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
148 services19 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
128 services17 patients

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Physical Therapist
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Physical Therapist
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Physical Therapist
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Physical Therapist
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Physical Therapist
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Physical Therapist
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Contractor
3100 S WOODRUFF AVE
IDAHO FALLS, ID 83404

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 Braden Bennett's NPI number?

The NPI number for Braden Bennett is 1366161887. It was assigned to this individual provider in the NPPES registry on August 26, 2022.

Where is Braden Bennett located?

Braden Bennett practices at 3100 S Woodruff Ave, Idaho Falls, ID 83404. The listed phone number is (208) 523-8879.

What is Braden Bennett's specialty?

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

Is Braden Bennett enrolled in Medicare?

Yes. Braden Bennett is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Braden Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Braden Bennett reassigns Medicare benefits to 2 organizations: Ellis Physical Therapy And Associates LLC (Idaho Falls, ID) and Physio Shop Idaho LLC (Idaho Falls, ID). Each 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 Braden Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Braden Bennett accept?

Health plans from Select Health list Braden Bennett 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 Braden Bennett was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.