NPI age
19 years
Enumerated 2007-03-27
● Active Type 2 · Organization
Gate City Physical Therapy
Gate City 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
Otto
Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 2006 active physical therapist providers in Idaho.
NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1951 Bench Rd, Suite E
Pocatello, ID 832012073
Mailing address
1951 Bench Rd, Suite E
Pocatello, ID 832012073
Authorized official
Michael E Otto, PT
Owner
📞 2082372080
Individual providers at this organization
14 individual providers on file at this primary practice address.
- John Fenstermaker, D.O. Family Medicine NPI 1548581390
- Nicolette Hampton, NP-C Nurse Practitioner NPI 1184083818
- Robert Jones, MD Ophthalmology NPI 1912015330
- Brandon Mickelsen, D.O. Family Medicine NPI 1417987686
- Travis Nielsen, D.O. Family Medicine NPI 1730340365
- Blaine Olsen, D.O. Family Medicine NPI 1922236454
- Michael Otto, RPT Physical Therapist NPI 1558324590
- William Sabel, FNP Nurse Practitioner NPI 1982690863
- Kimberly Schwarze, RPT Physical Therapist NPI 1972566354
- Mandy Smith, PTA Physical Therapy Assistant NPI 1528414513
- Andrew Thayne, M.D. Family Medicine NPI 1669405791
- Joni Vaughn Powell, RPT Physical Therapist NPI 1962465344
- Kris Walker, MD Family Medicine NPI 1861500613
- Zachary Warnock, M.D. Family Medicine NPI 1164717419
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | T0890 | BLUE CROSS |
Practice context
Multi-provider organization. 14 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.