P Praxis·MD
● Active Type 1 · Individual

Mandy Smith, PTA

Physical Therapy Assistant·Pocatello, ID· NPI 1528414513 · Enumerated 2016 · 10 years on NPI
Smith is 1 of 26 physical therapy assistant providers in Pocatello and 1 of 272 in Idaho.
NPI age
10 years
Enumerated 2016-05-09
Primary specialty
Physical Therapy Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-05-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 272 active physical therapy assistant providers in Idaho.

NPI age
10 years
≈ at median (9 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-05Enumerated in NPPES
2016 2026

Where they practice

Practice location
1951 Bench Rd, Suite E
Pocatello, ID 832012013
📞 2082372080
Mailing address
1951 Bench Rd, Suite E
Pocatello, ID 832012013
📞 2082372080

Specialties

  • Physical Therapy Assistant Primary
    (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-4580 taxonomy 225200000X

Practice context

Part of a multi-provider practice. 18 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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