ROBERT GRANT BLACK (NPI# 1457499428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457499428 |
| Entity Type | Individual |
| Full Name | ROBERT GRANT BLACK |
| Credential | PT |
| Practice Address |
285 Vista Drive Suite A Pocatello ID 83201 |
| Mailing Address |
2176 E. Franklin Road Suite 100 Meridian ID 83642-9024 |
| Practice Telephone | 2084781488 |
| Practice Fax Number | 2084781498 |
| Mailing Telephone | 2082881155 |
| Mailing Fax Number | 2082880424 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | PT-1705 | ID | Other Service Providers |
| Y | 225100000X | Physical Therapist | 3435682401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | D4888 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336624535 | Robert G Black Sr. | Physical Therapist | 3550 Harrison Blvd Ste D, Ogden, UT 84403-2081 | 2018-10-03 |
| 1629583471 | Robert D Black | Counselor | 2569 Lakefield Trl, Marietta, GA 30064-5764 | 2017-12-01 |
| 1285039735 | Robert Black | Hearing Instrument Specialist | 1012 Gay St, Portsmouth, OH 45662-3456 | 2014-10-27 |
| 1538434097 | Robert Clint Black | Registered Nurse | 1169 Broderick Rd, Omro, WI 54963-1091 | 2012-03-16 |
| 1013186246 | Robert Black | Chiropractor | 1270 5th Ave Apt 5t, New York, NY 10029-3421 | 2008-02-21 |
| 1134107576 | Robert Michael Black | Family Medicine | 40 Okatie Center Blvd S, Suite 205, Okatie, SC 29909-7507 | 2006-01-05 |
| 1902808827 | Robert D Black | Internal Medicine | 3600 Gaston Avenue, Suite 806, Dallas, TX 75246-1808 | 2005-08-11 |
| 1003373713 | Robert William Black | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2019-02-28 |
| 1861985657 | Robert Lee Black IIi | Physician Assistant | 640 Alden St, Meadville, PA 16335-2348 | 2018-06-07 |
| 1497209829 | Robert Marcus Black | Pharmacist | 1500 N Trenton St, Ruston, LA 71270-2328 | 2016-08-15 |
| Street Address |
285 VISTA DRIVE SUITE A |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215145883 | Aaron John Altenburg | Orthopaedic Surgery | 285 Vista Drive, Pocatello, ID 83201 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706581 | Ryan Jay Estus | Physical Therapist | 675 Yellowstone Ave # 1, Pocatello, ID 83201-4511 | 2020-06-28 |
| 1235789249 | Health Atlast Pocatello LLC | Physical Therapist | 1800 Flandro Dr Ste 110, Pocatello, ID 83202-4936 | 2019-09-12 |
| 1649769134 | Robert Mitchell Beckstead | Physical Therapist | 675 Yellowstone Ave Ste 1, Pocatello, ID 83201-4511 | 2018-05-09 |
| 1063937134 | Kaitlin Bailey Livesay Vail | Physical Therapist | 921 S 8th Ave Stop 8045, Pocatello, ID 83201-5377 | 2017-08-09 |
| 1073038378 | Streamline Sports Physical Therapy PC | Physical Therapist | 335 E Lewis St Ste 10, Pocatello, ID 83201-6408 | 2017-08-08 |
| 1598178063 | Ryan Hendricks | Physical Therapist | 1224 E Hayden St, Pocatello, ID 83201-4726 | 2014-06-03 |
| 1033549571 | Jared Denor Lundquist | Physical Therapist | 2450 Skylar Pl, Pocatello, ID 83201 | 2013-11-20 |
| 1447689443 | Rachelle Oliverson | Physical Therapist | Garrison Bldg 63 Rm 201, Campus Stop 8045, Pocatello, ID 83209-8045 | 2013-11-11 |
| 1831536994 | Chad Alan Clark | Physical Therapist | 560 Memorial Dr Ste C, Pocatello, ID 83201-4073 | 2013-05-30 |
| 1467707919 | Shawn R Higbee | Physical Therapist | 500 S 11th Ave Ste 500, Pocatello, ID 83201-4881 | 2012-07-20 |
| Find all providers in POCATELLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.