OrganizationActive
Lifepoint Rehab Physician Services LLC
NPI 1598492522 · Physical Medicine & Rehabilitation Physician · Pocatello, ID
Provider details
- NPI number
- 1598492522
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charlotte Lawrence, Assistant Vice President(615) 920-7688
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
777 Hospital Way
Pocatello, ID 83201-5175
Phone: (208) 239-1000
Street-level locationGet directions
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Other names (DBA / former)
- Doing business as
- Portneuf Rehabilitation Physician Services
Registry dates
- Enumerated
- 2022-08-01
- Last updated
- 2023-03-27
- Certified
- 2023-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.