OrganizationActive
Specialized Physical Therapy PLLC
NPI 1215381181 · Physical Therapy Clinic/Center · Pocatello, ID
Provider details
- NPI number
- 1215381181
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shawn Higbee, Owner(208) 242-8617
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4141 Poleline Rd Ste a
Pocatello, ID 83202
Phone: (208) 242-8617
Fax: (833) 698-2470
Approximate (ZIP-level) locationGet directions
Mailing address
4141 Poleline Rd Ste a
Pocatello, ID 83202-4904
Additional practice locations (2)
- 4141 Poleline Rd Ste aPocatello, ID 83202Phone: (208) 242-8617Fax: (833) 698-2470
- 500 S 11th Ave Ste 304Pocatello, ID 83201-4879Phone: (208) 137-8556
Registry dates
- Enumerated
- 2016-04-18
- Last updated
- 2019-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.