NPI age
6 years
Enumerated 2019-12-19
● Active Type 2 · Organization
Pocatello Physical Therapy
Pocatello Physical Therapy is 1 of 2006 physical therapist organizations in Idaho.
Primary specialty
Physical Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sidwell
Owner, Pt
Last NPPES update
2019-12-19
Source: monthly bulk 2026-05
How this organization compares
Across 2006 active physical therapist providers in Idaho.
NPI age
6 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-12Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
333 N 18th Ave Ste D2
Pocatello, ID 832013358
Mailing address
333 N 18th Ave Ste D2
Pocatello, ID 832013358
Authorized official
Randy C. Sidwell, PT
Owner, Pt
📞 2082326490
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Robert Marshall, PT, DPT, MS Physical Therapist NPI 1376688648
- Randy Sidwell, PT, MS, ATC Physical Therapist NPI 1962547257
Specialties
-
Physical Therapist PrimaryPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- 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.