Individual provider Active NPI

Colby C Ebanks, PT, DPT

  • Physical Therapist
  • Idaho Falls, ID
National Provider Identifier
1639745540
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7233 Issued in ID
Practice address
1917 Mesa Canyon Dr
Idaho Falls, ID 83401-6518
Phone
(904) 383-9278
NPI assigned
Jun 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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 7233 ID Primary

Addresses

Primary practice location

1917 Mesa Canyon Dr
Idaho Falls, ID 83401-6518

Mailing address

1917 Mesa Canyon Dr
Idaho Falls, ID 83401-6518
Phone (904) 383-9278

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730000379 ID Practitioner - Physical Therapist in Private Practice 5395148100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
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)

Iona, ID 83427
Phone (208) 754-2127

1470 Hollipark Dr
Suite Aandb
Idaho Falls, ID 83401-2160
Phone (208) 754-2127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7233IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 14, 2021 Accepting new patients
Wright Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 14, 2021 Accepting new patients
Phoenix Physical Therapy PLLC Physical Therapist CurrentSince Feb 16, 2026 Accepting new patients
Strada Performance LLC Past Accepting new patients

Locations

1615 Curlew Dr
Ammon, ID 83406
Phone (208) 516-1204

2194 Snake River Pkwy
Ste 102
Idaho Falls, ID 83402

2194 Snake River Pkwy
Idaho Falls, ID 83402
Phone (208) 973-4144

931 Center St W
#C
Kimberly, ID 83341
Phone (208) 423-9999

1444 Falls Ave E
Twin Falls, ID 83301
Phone (208) 736-2574

1411 Falls Ave E
Ste 401
Twin Falls, ID 83301
Phone (208) 969-9945

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1639745540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 MESA CANYON DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016518",
            "telephone_number": "904-383-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 MESA CANYON DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016518",
            "telephone_number": "904-383-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBANKS",
        "first_name": "COLBY",
        "middle_name": "C",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-01",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "7233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.