Anthony Baden Powell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA3510 Issued in ID

Practice address

527 Memorial Dr
Pocatello, ID 83201-4063

Phone

(208) 478-3333

NPI assigned

May 8, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1003471665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 S JOHNSON AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832044228",
            "telephone_number": "208-419-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MEMORIAL DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014063",
            "telephone_number": "208-478-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ANTHONY",
        "middle_name": "BADEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "PTA3510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Poteat
• Charity Potter, LCPC, LSW
• Elena Angelita Potter, DPT
• Sara Elizabeth Poulsen, RDN, LD
• Luke Adam Poulter, D.O.
• Erica Powell
• Christina Michelle Powers, DNP, APRN, FNP-BC
• Pray Counseling, LLC
• Stacy Jo Pray, LCPC
• Precision Wound Care PC

• Physical Therapy Assistant in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Physical Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.