Chandler Rose, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8281619 Issued in ID

Practice address

1470 Hollipark Dr Ste Ab
Idaho Falls, ID 83401-2160

Phone

(208) 754-2127

NPI assigned

Jun 4, 2026

Last updated

Jun 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2026

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Physical Therapy PLLCGroup PAC ID 1052848512, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phoenix Physical Therapy PLLC

  • Physical Therapist
  • Iona, ID
  • NPI 1992521215
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1295668770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 FREMONT AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834021555",
            "telephone_number": "435-640-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 HOLLIPARK DR STE AB",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834012160",
            "telephone_number": "208-754-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CHANDLER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "8281619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric K Romriell, DO
• Karen Marie Ronneberg, MSW
• Root & Branch Anesthesia P.L.L.C.
• Isis Rosario Vega, BS
• Audra J Rose, PA
• Glenn Rose, LSW1887
• Beth Roth
• Kelsi Delora Rounds, FNP
• Adam David Rowbury, BS CADC
• Jonathan William Rozack, FNP-C

• Physical Therapist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.