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PRO ORTHO PHYSICAL THERAPY PLLC NPI 1194241380


NPI Information

NPI: 1194241380
Provider Name: PRO ORTHO PHYSICAL THERAPY PLLC

Former Legal Business Name: ADVANCED PERFORMANCE PHYSICAL THERAPHY ASSOCIATES PLLC

Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
2240 E CENTER ST
POCATELLO, ID
ZIP 83201
Phone: (208) 478-6780
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PRO ORTHO PHYSICAL THERAPY PLLC is an orthopedic physical therapist in Pocatello, ID. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. PRO ORTHO PHYSICAL THERAPY PLLC NPI is 1194241380. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Advanced Performance Physical Theraphy Associates Pllc.

The provider's business location address is:

2240 E CENTER ST
POCATELLO, ID
ZIP 83201-600
Phone: (208) 478-6780
Fax: (208) 478-0194

The provider's authorized official is Robert Lance Marshall .
The authorized official title is Owner and has the following contact phone number (208) 478-6780.

The enumeration date for this NPI number is 8/18/2017 and was last updated on 1/25/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251X0800XPhysical TherapistOrthopedicPT1003IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11194241380MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.