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

Richard Brendon Lee

Individual provider Physical Therapist · NPI 1316789720

Richard Brendon Lee is a Physical Therapist in Private Practice in Pocatello, Idaho. Qualified in 2024, 2 years ago. Practices with Physical Therapy Specialists of Idaho, a 7-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2024
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Practice location Address checks out

675 Yellowstone Ave Ste 1
Pocatello, ID 83201-4511
Phone: (208) 478-1488
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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-9190 (ID)

Record details

NPI number1316789720
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 7, 2024
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024
Mailing address675 Yellowstone Ave Ste 1, Pocatello, ID 83201-4511

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Physical Therapy Specialists Of Idaho — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pocatello