P Praxis·MD
● Active Type 1 · Individual

Mary Vanorden, CPT

Specialist/Technologist·Pocatello, ID· NPI 1356742613 · Enumerated 2014 · 11 years on NPI
Vanorden is 1 of 1 specialist/technologist providers in Pocatello and 1 of 10 in Idaho.
NPI age
11 years
Enumerated 2014-09-05
Primary specialty
Specialist/Technologist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-09-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 10 active specialist/technologist providers in Idaho.

NPI age
11 years
↑ 5 yr above median (6 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 40% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-09Enumerated in NPPES
2014 2026

Where they practice

Practice location
1246 Yellowstone Ave Ste F2
Pocatello, ID 832014372
📞 2089041270fax 2089041270
Mailing address
1246 Yellowstone Ave Ste F2
Pocatello, ID 832014372
📞 2089041270fax 2089041270

Specialties

  • Specialist/Technologist Primary
    General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
    ID license #T178488 taxonomy 225500000X
  • Physical Therapy Assistant
    (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
    ID license #PTA-368 taxonomy 225200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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