Individual provider Active NPI

Elle N Pizzo, PT, DPT

  • Physical Therapist
  • Caldwell, ID
National Provider Identifier
1447040506
Registry record updated May 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5971655 Issued in ID
Practice address
4623 Enterprise Way
Caldwell, ID 83605-6764
Phone
(208) 455-4231
NPI assigned
May 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5971655 ID Primary

Addresses

Primary practice location

4623 Enterprise Way
Caldwell, ID 83605-6764

Mailing address

4623 Enterprise Way
Caldwell, ID 83605-6764
Phone (208) 455-4231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250703000812 ID Practitioner - Physical Therapist in Private Practice 9739692575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Current Physical Therapy CaldwellGroup PAC ID 5698138683, 5 clinicians
Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians

Practice addresses (Care Compare)

1906 E Fairview Ave
Suite 120
Caldwell, ID 83605-5425
Phone (208) 606-5384

8727 W Ardene St
Suite 102G
Boise, ID 83709-2627
Phone (208) 322-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince May 12, 2025 Accepting new patients
McDonald Rehab, PC Physical Therapist PastSince Apr 29, 2024 Accepting new patients

Locations

588 Fort Hall Ave
American Falls, ID 83211
Phone (208) 233-2248

8727 W Ardene St
Ste 102G
Boise, ID 83709
Phone (208) 322-6200

1961 S Broadway Ave
Boise, ID 83706
Phone (208) 344-1851

4623 Enterprise Way
Caldwell, ID 83605
Phone (208) 455-4231

875 E Plaza Dr
Ste 103
Eagle, ID 83616
Phone (208) 229-7075

912 S Washington Ave
Emmett, ID 83617
Phone (208) 365-4400

2210 Coronado St
Idaho Falls, ID 83404
Phone (208) 317-3956

3345 Potomac Way
Idaho Falls, ID 83404
Phone (208) 417-0090

1680 E 1st St
Idaho Falls, ID 83401
Phone (208) 417-0090

5251 E Exchange Way
Nampa, ID 83687
Phone (208) 466-9642

1800 Flandro Dr
Ste 190
Pocatello, ID 83202
Phone (208) 233-2248

128 Vista Dr
Pocatello, ID 83201
Phone (208) 233-2248

500 S 11th Ave
Ste 506
Pocatello, ID 83201
Phone (208) 233-2248

136 W Main St
Rexburg, ID 83440
Phone (208) 233-2248

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1746835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746835200000",
    "number": "1447040506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 ENTERPRISE WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056764",
            "telephone_number": "208-455-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 ENTERPRISE WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056764",
            "telephone_number": "208-455-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZO",
        "first_name": "ELLE",
        "middle_name": "N",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-10",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "5971655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2025; 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.