Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fitness Forward Physical Therapy PLLC

Organization Physical Therapy Assistant · NPI 1881100261

Fitness Forward Physical Therapy PLLC provides Physical Therapy Assistant services in Idaho Falls, Idaho. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1775 E 17th St Ste D
Idaho Falls, ID 83404-4902
Phone: (208) 243-9999
Fax: (208) 243-9999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1881100261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Mallams — Pta/Owner · (208) 424-3999
NPI enumeratedDecember 20, 2017
Last updated in NPPESDecember 20, 2017
Mailing address1775 E 17th St Ste D, Idaho Falls, ID 83404-4902

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