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

Kenneth Blair Reed, DPT, PT

Individual provider Physical Therapist · NPI 1518582212

Kenneth Blair Reed, DPT, PT is a Physical Therapist in Private Practice in Pocatello, Idaho. Qualified in 2020, 6 years ago. Practices with Physical Therapy Specialists of Idaho, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

675 Yellowstone Ave Ste 1
Pocatello, ID 83201-4511
Phone: (208) 478-1488
Fax: (208) 478-1498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 131 N Oak St, Blackfoot, ID 83221-1757 — (208) 684-2444

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6773 (ID)

Record details

NPI number1518582212
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedJune 9, 2020
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023

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 Physical Therapy Specialists Of Idaho — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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