Organization Active NPI

Palisade Physical Therapy & Wellness Services

  • Physical Therapist
  • Rigby, ID
National Provider Identifier
1518705441
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PALISADE PHYSICAL THERAPY & WELLNESS SERVICES
Practice address
329 Lemmon LN
Rigby, ID 83442-4921
Phone
(208) 227-3254
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Bryant Gardner, PTNPI 1346080462
Title
DPT
Phone
(208) 227-3254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

329 Lemmon LN
Rigby, ID 83442-4921

Mailing address

329 Lemmon LN
Rigby, ID 83442-4921
Phone (208) 227-3254

Other names 1

  • Palisade Physical Therapy & Wellness Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1518705441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 LEMMON LN",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834424921",
            "telephone_number": "208-227-3254",
            "fax_number": "208-252-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 LEMMON LN",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834424921",
            "telephone_number": "208-227-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADE PHYSICAL THERAPY & WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "208-227-3254",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palisade Physical Therapy & Wellness Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rigby, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.