Active NPI
Tanner Nathan Stohl
- Physical Therapist
- Idaho Falls, ID
National Provider Identifier
1902739253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8581713
- Practice address
- 3820 Crestwood LN
Idaho Falls, ID 83404-4979 - Phone
- (208) 552-7700
- NPI assigned
- Jun 5, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8581713 | ID | Primary |
Addresses
Primary practice location
3820 Crestwood LN
Idaho Falls, ID 83404-4979
Mailing address
206 Gettysburg LN
Idaho Falls, ID 83404-8423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Creighton University School of Medicine, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3820 Crestwood LN
Idaho Falls, ID 83404-4979
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8581713 | ID | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1902739253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 GETTYSBURG LN",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 CRESTWOOD LN",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834044979",
"telephone_number": "208-552-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOHL",
"first_name": "TANNER",
"middle_name": "NATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-05",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "8581713",
"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 Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.