ALLEN BENNETT MARTIN


Address: 540 South Garfield, Pocatello, ID 83204
Phone: 2082322740

ALLEN BENNETT MARTIN (NPI# 1710163803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710163803
Entity Type Individual
Full Name ALLEN BENNETT MARTIN
Credential RPT
Practice Address 540 South Garfield
Pocatello
ID 83204
Practice Telephone 2082322740
Practice Fax Number 2082322746
Mailing Telephone 2082322740
Mailing Fax Number 2082322746
Enumeration Date 2008-01-18
Last Update Date 2008-01-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
PT004 Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE 1653428 01

Other Providers ALLEN MARTIN

NPI Name Taxonomy Address Enumeration
1104918796 Allen Lionel Martin Registered Nurse 15 Mid Coast Dr, Belfast, ME 04915-6079 2006-09-29
1679696843 Allen Martin General Practice 39 Brace Rd, Cherry Hill, NJ 08034-2624 2007-04-10
1538210794 Allen Nathanial Martin Chiropractor 22790 Buchanan Street, Mount Vernon, WA 98273 2007-01-15

Office Location

Street Address 540 SOUTH GARFIELD
City POCATELLO
State ID
Zip Code 83204

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568974541 Daniel Graham Rasmussen Social Worker 335 N. Main, Pocatello, ID 83204 2017-10-30
1801311246 Thomas Henrie Specialist/Technologist 3960 Stockman Rd., Pocatello, ID 83204 2017-08-07
1750803110 David Tim Williams Counselor 224 S. Arthur Suite 2, Pocatello, ID 83204 2017-07-07
1023441185 Insight Occupational Therapy, LLC Occupational Therapist 158 N Main St., Pocatello, ID 83204 2013-08-13
1679816912 A New Hope, LLC Day Training, Developmentally Disabled Services 19b Mountain Dr, Pocatello, ID 83204 2013-04-05
1790032431 Wynnona Sarah Warren Pharmacist 911 North Main Street, Pocatello, ID 83204 2012-08-13
1902110380 Belmont Management, Inc. Intermediate Care Facility, Mentally Retarded 6150 S. 5th Ave, Pocatello, ID 83204 2010-07-28
1104066539 Rachel Ann Seibold Speech-Language Pathologist 1254 Swisher Rd, Pocatello, ID 83204 2009-02-25
1174711758 Rsm Pa Pllc Physician Assistant 1595 Bannock Hwy, Pocatello, ID 83204 2007-10-09
1972633915 Maag Prescription Center LLC Pharmacy 333 W. Center St., Pocatello, ID 83204 2007-03-07
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215381181 Specialized Physical Therapy Pllc Clinic/Center 4141 Poleline Rd Ste A, Pocatello, ID 83202 2016-04-18
1215537196 Jeremy Wayne Hegman Clinic/Center 4141 Poleline Rd Ste A, Pocatello, ID 83202-4904 2020-10-29
1013423482 Hands On Diagnostics of Idaho, Pllc Clinic/Center 1800 Flandro Dr Ste 190, Pocatello, ID 83202-4940 2017-12-21
1902098841 Rapid Creek Rehab, PC Clinic/Center 1800 Garrett Way, Ste 19a, Pocatello, ID 83201-5132 2007-08-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376150581 Meridian Mama's Physical Therapy Clinic/Center 309 W Emma Ave, Coeur D Alene, ID 83814-2522 2020-09-30
1033726880 Moscow Physical Therapy, LLC Clinic/Center 1174 Alturas Drive, Suite 2, Moscow, ID 83843 2020-09-25
1356964449 Vibrant Physical Therapy & Wellness Clinic/Center 1111 S Orchard St Ste 104, Boise, ID 83705-1961 2020-05-22
1477193795 Zona Physical Therapy Clinic/Center 11483 W Fairview Ave, Boise, ID 83713-7940 2020-01-15
1225676372 Mike Dusbabek Physical Therapy, Pllc Clinic/Center 609 S Dollar St, Coeur D Alene, ID 83814-3828 2019-12-19
1922665934 Dahle Physical Therapy, Pllc Clinic/Center 812 Shoup St., Salmon, ID 83467-4305 2019-05-24
1598222713 Salmon Speech and Swallowing Service Clinic/Center 700 Riverfront Dr Rm 1, Salmon, ID 83467-5190 2019-02-24
1134625338 Idaho Falls Hand Therapy Limited Partnership Clinic/Center 564 S Woodruff Avenue, Idaho Falls, ID 83401 2018-04-05
1427565845 Premier Physical Therapy Inc Clinic/Center 13967 W Wainwright Dr Ste 104, Boise, ID 83713-2094 2018-01-08
1790294973 The Pt Next Door Clinic/Center 6098 E. Grand Prairie Drive, Boise, ID 83716 2017-09-20
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Competitor

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City POCATELLO
Zip Code 83204

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Dataset Information

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.

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