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

Mathew Livermore, PT

Individual provider Physical Therapist · NPI 1285209676

Mathew Livermore, PT is a Physical Therapist in Private Practice in Pocatello, Idaho. Qualified in 2021, 5 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2021
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

1800 Garrett Way Ste 19
Pocatello, ID 83201-5132
Phone: (208) 904-4469
Fax: (208) 904-4803
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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 PT-7242 (ID)

Record details

NPI number1285209676
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 26, 2021
Last updated in NPPESAugust 5, 2024
Certification dateMay 26, 2021
Mailing address1800 Garrett Way, Ste 19, Pocatello, ID 83201-5132

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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