HYDE PHYSICAL THERAPY
NPI 1700128337
Clinic/Center - Physical Therapy in Blackfoot, ID

Active since March 21, 2013
725 JENSEN GROVE DR, SUITE 4, BLACKFOOT, ID 83221(208) 785-3462(208) 785-3453 Get Directions Write a Review

NPPES record last updated: September 13, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Physical Therapy

About HYDE PHYSICAL THERAPY

This page provides the complete NPI Profile along with additional information for Hyde Physical Therapy, a provider established in Blackfoot, Idaho operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1700128337 assigned on March 2013. The practitioner's primary taxonomy code is 261QP2000X with license number PT-1987 (ID). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's former legal business name is Hyde Ellis Physical Therapy. The authorized official of this NPI record is Jason R Hyde P.t. (Physicals Therapist/owner)

NPI
1700128337 Verify this NPI
Provider Legal Name
HYDE PHYSICAL THERAPY
Other Organization Name
HYDE ELLIS PHYSICAL THERAPY
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
725 JENSEN GROVE DR SUITE 4 BLACKFOOT, ID 83221
Location Phone
(208) 785-3462
Location Fax
(208) 785-3453
Mailing Address
725 JENSEN GROVE DR SUITE 4 BLACKFOOT, ID 83221
Mailing Phone
(208) 785-3462
Mailing Fax
(208) 785-3453
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2013
Last Update Date
09-13-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
License No.
PT-1987
License State
ID
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JASON R HYDE P.T.

Authorized Official Title
PHYSICALS THERAPIST/OWNER
Authorized Official Phone
(208) 227-6255

Reviews for HYDE PHYSICAL THERAPY

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Physical Therapist
725 JENSEN GROVE DR, SUITE 4
BLACKFOOT, ID 83221
Physical Therapist
725 JENSEN GROVE DR, SUITE 4
BLACKFOOT, ID 83221
Physical Therapist (Pediatrics)
725 JENSEN GROVE DR, SUITE 5
BLACKFOOT, ID 83221
Chiropractor
725 JENSEN GROVE DR
BLACKFOOT, ID 83221
Counselor
725 JENSEN GROVE DR, SUITE 5
BLACKFOOT, ID 83221
Dietitian, Registered
725 JENSEN GROVE DR
BLACKFOOT, ID 83221

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700128337, enumerated as an "organization" on March 21, 2013.

The provider is located at 725 JENSEN GROVE DR SUITE 4 BLACKFOOT, ID 83221 and the phone number is (208) 785-3462.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.