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

Gregary Gradon Burch, PT

Individual provider Physical Therapist · NPI 1629761226

Gregary Gradon Burch, PT is a Physical Therapist in Private Practice in Pocatello, Idaho. Qualified in 2020, 6 years ago. Practices with Specialized Physical Therapy PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4141 Poleline Rd Ste A
Pocatello, ID 83202-4904
Phone: (208) 242-8617
Fax: (833) 608-2470
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-8623 (ID)

Record details

NPI number1629761226
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 30, 2023
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023
Mailing address4141 Poleline Rd Ste A, Pocatello, ID 83202-4904

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Specialized Physical Therapy Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pocatello