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

Bryan Philip Lawson, PT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1639739022

Bryan Philip Lawson, PT is a Physical Therapist in Private Practice in Pocatello, Idaho. Qualified in 2019, 7 years ago. Practices with Kinport Physical Therapy, a 2-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

920 Deon Dr Ste D
Pocatello, ID 83201
Phone: (208) 425-1470
Fax: (108) 425-1471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence PT-6198 (ID)

Record details

NPI number1639739022
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 18, 2019
Last updated in NPPESJuly 25, 2024
Certification dateApril 21, 2020
Mailing address920 Deon Dr, Ste D, Pocatello, ID 83201

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kinport Physical Therapy — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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