Individual
ADAM BEADERSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2037 E 17TH ST, IDAHO FALLS, ID 83404-6430
(208) 529-3355
(208) 529-9581
Mailing address
2037 E 17TH ST, IDAHO FALLS, ID 83404-6430
(208) 529-3355
(208) 529-9581
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA8267
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA8267
PROFESSIONAL LICENSE
ID
Enumeration date
04/24/2024
Last updated
09/29/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us