Gate City Physical Therapy

LBN: Gate City Physical Therapy
Gate City Physical Therapy is an health care organization with primary practice located at 1951 Bench Rd Suite E, Pocatello ID 83201-2073. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Gate City Physical Therapy can be contacted via phone (208) 237-2080, or through Otto, Michael E via phone (208) 237-2080.

Contact Information

Primary practice address
1951 Bench Rd Suite E Pocatello ID 83201-2073
Phone: (208) 237-2080
Fax: (208) 237-1084
Website:
Map and Directions
Authorized official contact:
Name: Otto, Michael E Physical Therapist (PT)
Phone: (208) 237-2080

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X RPT-186 Idaho

Profile Details

NPI number 1619095734
LBN Legal business name Gate City Physical Therapy
DBA Doing business as
Authorized official Otto, Michael E Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619095734 NPPES
Idaho Other T0890 BLUE CROSS

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