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Pocatello Physical Therapy Clinic PA

Physical Therapist in Pocatello, ID · enumerated 2006 · authorized official Dan Des Fosses, President Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184707911

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Registry record

Entity type Organization (Type 2)
Legal business name Pocatello Physical Therapy Clinic PA
Practice address 1033 W Quinn Rd, Pocatello, ID, 83202
Phone (208) 233-4800
Fax (208) 233-4887
Enumeration date Oct 23, 2006
Last updated in NPPES May 10, 2011

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name Dan Des Fosses
Title President Owner
Phone (208) 233-4800

Other identifiers

Identifier Type State Issuer
002463600 Medicaid ID -
000010026861 Other ID BLUE SHIELD
T0296 Other ID BLUE CROSS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-05-10. Verify at npiregistry.cms.hhs.gov.
Where is Pocatello Physical Therapy Clinic PA located?
The practice location on file with NPPES is in Pocatello, ID.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-10.