Jeffrey Nielsen II, DPT
Individual provider Active NPI Physical Therapist · Malad City, ID
NPI 1225836588 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1225836588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 8136 (ID)
- Practice address
- 554 S 5400 W
Malad City, ID 83252-6556 - Phone
- (801) 935-0127
- NPI assigned
- Mar 4, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8136 | ID | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8136 | ID | Yes |
Addresses
Primary practice location
554 S 5400 W
Malad City, ID 83252-6556
Mailing address
45 N 2ND E
Preston, ID 83263-1334
Phone (801) 935-0127
Other providers in Malad City, ID
- Misty M Martinsen
- Rebekah Currier McCullough
- Pamela Mills
- Brandi Lee Moss
- Heidi Marie Napier
- Oneida County Hospital
- Oneida County Hospital
- Oneida County Hospital
- Oneida Family Dental LLC
- Oneida School District
All providers in Malad City, ID · Physical Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.