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

Specialized Physical Therapy PLLC

Organization Physical Therapy Clinic/Center · NPI 1215381181

Specialized Physical Therapy PLLC is a Physical Therapy Clinic/Center in Pocatello, Idaho. Works from 3 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2016
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4141 Poleline Rd Ste A
Pocatello, ID 83202
Phone: (208) 242-8617
Fax: (833) 698-2470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 500 S 11th Ave Ste 304, Pocatello, ID 83201-4879 — (208) 137-8556
  • 4141 Poleline Rd Ste A, Pocatello, ID 83202 — (208) 242-8617

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence PT-3095 (ID)
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1215381181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawn Higbee — Owner · (208) 242-8617
NPI enumeratedApril 18, 2016
Last updated in NPPESOctober 29, 2019
Mailing address4141 Poleline Rd Ste A, Pocatello, ID 83202-4904

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