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NPI 1194241380
● Active Type 2 · Organization
Pro Ortho Physical Therapy Pllc
Physical Therapist · Pocatello, ID · NPI 1194241380
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Enumerated 2017 · 8 years on NPI
Pro Ortho Physical Therapy Pllc is 1 of 83 physical therapist organizations in Idaho.
NPI age
8 years
Enumerated 2017-08-18
Primary specialty
Physical Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Marshall
Owner
Last NPPES update
2018-01-25
Source: monthly bulk 2026-05
How this organization compares
Across 83 active physical therapist providers in Idaho.
NPI age
8 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2017 → 2026
2017-08 Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
2240 E Center St
Pocatello, ID 832012600
📞 2084786780 fax 2084780194
Mailing address
2240 E Center St
Pocatello, ID 832012600
📞 2084786780 fax 2084780194
Authorized official
Robert Lance Marshall, DPT
Owner
📞 2084786780
Individual providers at this organization
15 individual providers on file at this primary practice address.
Jordan Anderson , DPT
Physical Therapist
NPI 1932510690
Benjamin Blair , MD
Orthopaedic Surgery
NPI 1851478192
Steven Bray , DPM
Podiatrist
NPI 1386721637
Annie Dixon , PA
Physician Assistant
NPI 1205085529
William Harris , DPT
Physical Therapist
NPI 1366989659
William Huneycutt , M.D.
Neurological Surgery
NPI 1003800699
Joni Johnson , DPT
Physical Therapist
NPI 1548649072
Anthony Joseph , MD
Family Medicine
NPI 1922092741
Stephen Maloff , MD
Plastic Surgery
NPI 1316059280
Matthew McKinlay , PA-C
Physician Assistant
NPI 1851385538
Justin Pool , PA-C
Physician Assistant
NPI 1952402257
Jason Richards , MD
Orthopaedic Surgery
NPI 1902081813
Samuel Saunders , DO
Family Medicine
NPI 1760988364
Steven Simmons , PA-C
Physician Assistant
NPI 1740212190
Richard Wathne , MD
Orthopaedic Surgery
NPI 1033296330
Specialties
Physical Therapist
Primary
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,...
ID license #PT1003 taxonomy 2251X0800X
Identifiers
Type Value Notes
05 (ID)
1194241380
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Advanced Performance Physical Theraphy Associates PLLC
Type code 4
recorded 2018-01-25
Adavanced Performance Physical Therapy Associates
Type code 3
recorded 2017-11-02
Practice context
Multi-provider organization.
15 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.