POCATELLO REHABILITATION PA (NPI# 1528143864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528143864 |
| Entity Type | Organization |
| Organization Name | POCATELLO REHABILITATION PA |
| Practice Address |
500 S 11th Ave Ste 201 Pocatello ID 83201-4878 |
| Practice Telephone | 2082341984 |
| Practice Fax Number | 2082341987 |
| Mailing Telephone | 2082341984 |
| Mailing Fax Number | 2082341987 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KEVIN S. HILL (PRESIDENT) |
| Authorized Official Telephone | 2082341984 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | M5852 | ID | Other Service Providers |
| Street Address |
500 S 11TH AVE STE 201 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4878 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760708457 | Cynthia M Rice | Specialist | 1553 E Center, Pocatello, ID 83201-4135 | 2010-04-20 |
| 1629280359 | Charles P. Lawless, M.d., P.a. | Specialist | 1777 E Clark St Ste 310, Pocatello, ID 83201-3357 | 2007-05-04 |
| 1457499428 | Robert Grant Black | Specialist | 285 Vista Drive, Suite A, Pocatello, ID 83201 | 2007-02-02 |
| 1801989454 | Arthritis Specialty Center,inc | Specialist | 1448 E Center Street, Suite E, Pocatello, ID 83201 | 2006-10-02 |
| 1083983647 | Michael J. Gregson, M.d., P.a. | Specialist | 1950 E Clark St, Suite C, Pocatello, ID 83201-3314 | 2011-12-27 |
| 1265683445 | Pocatello Orthopaedics and Sports Medicine Institute Pa | Specialist | 333 N 18th Ave, Suite D-1, Pocatello, ID 83201-3358 | 2008-10-06 |
| 1033396049 | Jamie Kae Cobbley | Specialist | 1151 Hospital Way, Pocatello, ID 83201-5091 | 2008-01-22 |
| 1255520599 | Yvonne Perle Treece | Specialist | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2007-10-23 |
| 1891918983 | Anesthesia Associates of Pocatello, Pa | Specialist | 333 N 18th Ave, Suite A, Pocatello, ID 83201 | 2007-04-10 |
| 1497883300 | Benjamin Blair, Md Pa | Specialist | 2240 E Center St, Pocatello, ID 83201-2600 | 2007-03-01 |
| 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.