NPI age
20 years
Enumerated 2005-08-22
● Active Type 2 · Organization
Physical Therapy Sports & Rehab
Physical Therapy Sports & Rehab 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
Martin
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
20 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
540 S Garfield Ave
Pocatello, ID 832043333
Mailing address
540 S Garfield Ave
Pocatello, ID 832043333
Authorized official
Allen B Martin, PPT
Owner
📞 2082322740
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 |
|---|---|---|
| 05 (ID) | 0026437 |
Practice context
Single-site organization. Only one practice location on file.
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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.