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NPI 1215381181
● Active Type 2 · Organization
Specialized Physical Therapy Pllc
Clinic/Center · Pocatello, ID · NPI 1215381181
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Enumerated 2016 · 10 years on NPI
Specialized Physical Therapy Pllc is 1 of 120 clinic/center organizations in Idaho.
NPI age
10 years
Enumerated 2016-04-18
Primary specialty
Clinic/Center
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Higbee
Owner
Last NPPES update
2019-10-29
Source: monthly bulk 2026-05
How this organization compares
Across 120 active clinic/center providers in Idaho.
NPI age
10 years
↑ 2 yr above median
Practice locations
3
2 secondary on file
NPI lifetime · 2016 → 2026
2016-04 Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
4141 Poleline Rd Ste A
Pocatello, ID 83202
📞 2082428617 fax 8336982470
Mailing address
4141 Poleline Rd Ste A
Pocatello, ID 832024904
📞 2082428617 fax 8336982470
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
500 S 11th Ave Ste 304
Pocatello, ID 832014879
📞 2081378556
Location 3
4141 Poleline Rd Ste A
Pocatello, ID 83202
📞 2082428617 fax 8336982470
Authorized official
Shawn Robert Higbee, PT,DPT
Owner
📞 2082428617
Individual providers at this organization
2 individual providers on file at this primary practice address.
Specialties
Clinic/Center
Primary
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
ID license #PT-3095 taxonomy 261QP2000X
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
Plus 2 secondary practice locations.
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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.