Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Physical Therapy Sports & Rehab

Organization Physical Therapist · NPI 1831181106

Physical Therapy Sports & Rehab is a Physical Therapist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2005.

Licensed in
ID
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

540 S Garfield Ave
Pocatello, ID 83204-3333
Phone: (208) 232-2740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence RPT004 (ID)
Physical Therapist Taxonomy 225100000X · Licence RPT195 (ID)

Record details

NPI number1831181106
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allen Martin — Owner · (208) 232-2740
NPI enumeratedAugust 22, 2005
Last updated in NPPESAugust 22, 2020
Mailing address540 S Garfield Ave, Pocatello, ID 83204-3333

Other providers in Pocatello