PRIME PHYSICAL THERAPY LLC
NPI 1851051718
Clinic/Center - Physical Therapy in Blackfoot, ID

Active since December 20, 2021
30 S MAPLE ST, BLACKFOOT, ID 83221(208) 684-0021 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2022, Mar 2, 2022, Dec 20, 2021 (3 updates tracked since 2021).

About Prime Physical Therapy Llc NPPES

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

PRIME PHYSICAL THERAPY LLC (NPI 1851051718) is a healthcare organization registered as a physical therapy in Blackfoot, Idaho and active in the NPI registry since December 2021. The organization lists Jessica Annelaine Vandyke, Owner, as its authorized official.

NPPES Registry Identity

NPI1851051718
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NamePRIME PHYSICAL THERAPY LLC
Location Address30 S MAPLE STBlackfoot, ID 83221-2128
Mailing Address30 S Maple StBlackfoot, ID 83221-2128 · (208) 684-0021
Organization SubpartNo
Authorized OfficialJessica Annelaine VandykeOwner · (208) 233-2248
Enumeration DateDecember 20, 2021
Last NPPES UpdateOctober 15, 20253 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
NPI 1851051718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedPhysical TherapistTaxonomy 225100000X
30 S MAPLE ST, Blackfoot, ID 83221

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Prime Physical Therapy LLC's NPI number?

The NPI number for Prime Physical Therapy LLC is 1851051718. It was assigned to this organization in the NPPES registry on December 20, 2021.

Where is Prime Physical Therapy LLC located?

Prime Physical Therapy LLC is located at 30 S Maple St, Blackfoot, ID 83221. The listed phone number is (208) 684-0021.

What is Prime Physical Therapy LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Prime Physical Therapy LLC was last updated on October 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.