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

Robert Grant Black, PT

Individual provider Physical Therapist · NPI 1457499428

Robert Grant Black, PT is a Physical Therapist in Pocatello, Idaho. Licensed in Idaho and Utah. Registered with an NPI since 2007.

Licensed in
ID, UT
In the registry since
2007
Specialties on file
2
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

285 Vista Dr Ste A
Pocatello, ID 83201
Phone: (208) 478-1488
Fax: (208) 478-1498
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3435682401 (UT)
Specialist Taxonomy 174400000X · Licence PT-1705 (ID)

Record details

NPI number1457499428
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 2, 2007
Last updated in NPPESAugust 20, 2008
Mailing address2176 E. Franklin Road, Suite 100, Meridian, ID 83642-9024

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