NPIMap

Organization Active NPI

Channing Physical Therapy & Associates LLC

  • Physical Therapist
  • Idaho Falls, ID
National Provider Identifier
1982203030
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CHANNING PHYSICAL THERAPY & ASSOCIATES LLC
Practice address
2570 Channing Way
Idaho Falls, ID 83404-7515
Phone
(208) 529-8005
NPI assigned
Oct 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Adam Balmforth, DPTNPI 1457709081
Title
LLC Member
Phone
(208) 529-8005

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

2570 Channing Way
Idaho Falls, ID 83404-7515

Mailing address

2570 Channing Way
Idaho Falls, ID 83404-7515
Phone (208) 529-8005

Other names 1

  • Channing Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201204002609 ID Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052722535 Receives reassigned benefits from 4 practitioners
Practice locations: Idaho Falls, ID

National Provider Directory

National Provider Directory

Locations

2570 Channing Way
Idaho Falls, ID 83404
Phone (208) 251-6361

Practitioners & affiliated clinicians

Practitioners 5

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": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1982203030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047515",
            "telephone_number": "208-529-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047515",
            "telephone_number": "208-529-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNING PHYSICAL THERAPY & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "BALMFORTH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "208-529-8005",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Channing Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.