Pocatello Physical Therapy
NPI 1548808637 · Physical Therapist · Pocatello, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pocatello Physical Therapy is a Physical Therapist organization in Pocatello, ID (NPI 1548808637).
Provider details
- NPI number
- 1548808637
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Randy Sidwell, Owner, PT(208) 232-6490
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2019-12-19
- Last updated
- 2019-12-19
- Certified
- 2019-12-19
Frequently asked questions
- What is Pocatello Physical Therapy's NPI number?
- Pocatello Physical Therapy's National Provider Identifier (NPI) is 1548808637, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pocatello Physical Therapy?
- Pocatello Physical Therapy is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Pocatello Physical Therapy located?
- Pocatello Physical Therapy's practice location on file with NPPES is 333 N 18th Ave Ste D2, Pocatello, ID 83201-3358.
- What is Pocatello Physical Therapy's phone number?
- The practice phone number listed in the NPPES registry for Pocatello Physical Therapy is (208) 232-6490.
- Does Pocatello Physical Therapy accept Medicare?
- Pocatello Physical Therapy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pocatello Physical Therapy?
- The authorized official listed on Pocatello Physical Therapy's NPPES record is Randy Sidwell, Owner, PT. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pocatello Physical Therapy's NPI active?
- Yes — Pocatello Physical Therapy's NPI (1548808637) is active in the NPPES registry as of the last update on 2019-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.