NPI age
11 years
Enumerated 2014-11-13
● Active Type 2 · Organization
Idaho State University
Idaho State University is 1 of 1691 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wotowey
Head Athletic Trainer
Last NPPES update
2014-11-13
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
11 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
3
In the 31% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-11Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
921 S 8th Ave Stop 8173, Sports And Orthopaedic Center
Pocatello, ID 832098173
Mailing address
5050 Spring Valley Rd
Dallas, TX 752443995
Authorized official
Jodi Wotowey
Head Athletic Trainer
📞 2082823408
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Brandon Payne, ATC Specialist/Technologist NPI 1356864524
- Elizabeth Reinstein, MS, ATC/L, CSCS Specialist/Technologist NPI 1740703909
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
Family MedicineA family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...
-
Orthopaedic SurgeryAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
-
Orthopaedic SurgeryAn orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Idaho State Sports Medicine
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 →
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