Gate City Physical Therapy in Pocatello - Physical Therapist
Gate City Physical Therapy - NPI 1619095734
Gate City Physical Therapy is a Physical Therapist in Pocatello, Idaho. Gate City Physical Therapy practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Gate City Physical Therapy is 1619095734. The last update date is 2020-08-22.
Gate City Physical Therapy's current location address is 1951 Bench Rd, Pocatello, Idaho. You can contact this provider via phone number 2082372080 and fax number 2082371084. The mailing address for Gate City Physical Therapy is 1951 Bench Rd, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gate City Physical Therapy |
|---|---|
| Address | 1951 Bench Rd, Pocatello, Idaho |
| Phone Number | 2082372080 |
| Fax Number | 2082371084 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Otto E Michael |
| Credentials | PT |
| Telephone Number | 2082372080 |
NPI Number Detail
| NPI Number | 1619095734 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1951 Bench Rd |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832012073 |
| Phone Number | 2082372080 |
| Fax Number | 2082371084 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | RPT-186 |
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Definition: Physical 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 to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| T0890 | ID | BLUE CROSS |
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What is the unique 10-digit identifier code assigned to Gate City Physical Therapy by the Centers for Medicare & Medicaid Services?
The Gate City Physical Therapy has been issued the NPI (National Provider Identifier) 1619095734 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Gate City Physical Therapy located?
The Gate City Physical Therapy is located at 1951 Bench Rd, Pocatello, ID 832012073.
What is Gate City Physical Therapy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gate City Physical Therapy is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619095734 to Gate City Physical Therapy?
The Centers for Medicare & Medicaid Services assigned the 1619095734 to Gate City Physical Therapy on 2007-03-27.
As of what date were the Gate City Physical Therapy's details last updated?
The information pertaining to the Gate City Physical Therapy, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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