P Praxis·MD
● Active Type 1 · Individual

Shannon Tara Barlow, PT

Physical Medicine & Rehabilitation·Pocatello, ID· NPI 1457083487 · Enumerated 2022 · 3 years on NPI
Barlow is 1 of 1 physical medicine & rehabilitation providers in Pocatello and 1 of 2 in Idaho.
NPI age
3 years
Enumerated 2022-06-28
Primary specialty
Physical Medicine & Rehabilitation
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-01
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2 active physical medicine & rehabilitation providers in Idaho.

NPI age
3 years
↓ 6 yr below median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 50% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-06Enumerated in NPPES
2022 2026

Where they practice

Practice location
1001 N 7th Ave Ste 205
Pocatello, ID 832015761
📞 2082391490fax 2082391794
Mailing address
1001 N 7th Ave Ste 280
Pocatello, ID 832015788
📞 2082391490fax 2082391794

Specialties

  • Physical Medicine & Rehabilitation Primary
    A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical,...
    ID license #PT-1900 taxonomy 2081P0010X
  • Clinic/Center
    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-1900 taxonomy 261QP2000X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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