ELLIS PHYSICAL THERAPY AND ASSOCIATES LLC
NPI 1821628645
Clinic/Center - Physical Therapy in Idaho Falls, ID
About Ellis Physical Therapy And Associates Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLIS PHYSICAL THERAPY AND ASSOCIATES LLC (NPI 1821628645) is a healthcare organization registered as a physical therapy in Idaho Falls, Idaho and active in the NPI registry since January 2020. The organization lists Logan Bradley, Owner, 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)
Ellis Physical Therapy And Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Ellis Physical Therapy And Associates LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Ellis Physical Therapy And Associates LLC's NPI number?
The NPI number for Ellis Physical Therapy And Associates LLC is 1821628645. It was assigned to this organization in the NPPES registry on January 21, 2020.
Where is Ellis Physical Therapy And Associates LLC located?
Ellis Physical Therapy And Associates LLC is located at 3100 S Woodruff Ave, Idaho Falls, ID 83404. The listed phone number is (208) 523-8879.
What is Ellis Physical Therapy And Associates LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Ellis Physical Therapy And Associates LLC enrolled in Medicare?
Yes. Ellis Physical Therapy And Associates LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ellis Physical Therapy And Associates LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Ellis Physical Therapy And Associates LLC. 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, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ellis Physical Therapy And Associates LLC accept?
Health plans from Molina Healthcare list Ellis Physical Therapy And Associates LLC 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 Ellis Physical Therapy And Associates LLC was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ellis Physical Therapy And Associates Llc · NPI 1821628645
Physical Therapy organization in Idaho Falls, Idaho. Organization record, active in the CMS NPPES registry since January 21, 2020.
## Identity
- **NPI:** 1821628645 (Entity type: Organization)
- **Enumerated:** January 21, 2020
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Logan Bradley, OWNER
## Practice location
- **Address:** 3100 S WOODRUFF AVE, Idaho Falls, ID 83404-8310
- **Phone:** (208) 523-8879
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1821628645) · Data from the CMS NPPES public registry.