NPI age
14 years
Enumerated 2012-04-19
● Active Type 2 · Organization
Pocatello PA Service Llc
Pocatello PA Service Llc is 1 of 264 durable medical equipment & medical supplies organizations in Idaho.
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Simmons
Owner
Last NPPES update
2012-04-19
Source: monthly bulk 2026-05
How this organization compares
Across 264 active durable medical equipment & medical supplies providers in Idaho.
NPI age
14 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-04Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
333 N 18th Ave Ste D2
Pocatello, ID 832013358
Mailing address
2310 Satterfield Dr
Pocatello, ID 832017905
Authorized official
Steven Boe Simmons, PA-C
Owner
📞 2082410876
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
-
Durable Medical Equipment & Medical Supplies PrimaryA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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.