MR. NATHAN S GRAVLEY (PT) – Physical Therapist, NPI 1356566020

MR. NATHAN S GRAVLEY (PT) is a healthcare provider. based in Idaho falls, Idaho. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT5991 (ID). The NPI Number for MR. NATHAN S GRAVLEY (PT) is 1356566020

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. NATHAN S GRAVLEY (PT)
NPI
1356566020
Phone
(208) 552-7700
Address
3820 CRESTWOOD LN
Enumeration Date
16 April 2007
Last Update Date
22 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085527700
Graduation Year
1999 (27 years ago)
PAC ID
8527392109
Group Practice PAC ID
1052480076
Professional Enrollment ID
I20190702001450
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for MR. NATHAN S GRAVLEY (PT)

  • 3820 CRESTWOOD LN

    IDAHO FALLS, ID 834044979

    Phone: (208) 552-7700

    Type: Mailing

  • 1000 HIGHWAY 6

    PAYSON, UT 846511600

    Phone: (801) 465-7070

    Fax: (801) 465-7001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83404)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052480076View full group profile
NameSpecialtyState
JOHNATHON CHASE WILDE (PA-C)
Physician AssistantID
ALYSSA JENKINS (PA-C)
-ID
CANDICE LAREE TOVEY (DPT)
Physical Therapist In Private PracticeID
MELISSA ILENE KELLY (FNP)
-ID
MR. TYSON CRAIG PARKER (PA-C)
Physician AssistantID
NATALIE HANCOCK
Physician AssistantID
SPENCER WILLIAM SOUTHWICK (PT)
Physical Therapist In Private PracticeWA
DR. BOYD K SOUTHWICK (DO)
Family PracticeID
EMILIE L PETERSON (DPT)
Physical Therapist In Private PracticeID
JESSICA PACKER SMOOT (PA)
Physician AssistantID

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find MR. NATHAN S GRAVLEY (PT)'s NPI?
You can confirm MR. NATHAN S GRAVLEY (PT) with NPI 1356566020; it appears in the national provider directory.
Is MR. NATHAN S GRAVLEY (PT)'s NPI currently valid?
The extract we use shows MR. NATHAN S GRAVLEY (PT) as active.
Does MR. NATHAN S GRAVLEY (PT) list a primary specialty?
If you are matching referrals, note Physical Therapist for MR. NATHAN S GRAVLEY (PT). Clinical services aligned with this taxonomy classification.
Where does public data place MR. NATHAN S GRAVLEY (PT)?
The snapshot lists Idaho Falls, Idaho for MR. NATHAN S GRAVLEY (PT); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.