Unlimited Potential Performance Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

UNLIMITED POTENTIAL PERFORMANCE THERAPY PLLC

Practice address

786 Ebony St
Pocatello, ID 83201-5609

Phone

(208) 470-6658

NPI assigned

Sep 26, 2022

Last updated

Aug 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Blair Reed, DPTNPI 1518582212

Title

Owner

Phone

(208) 470-6658

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Blair Reed, DPT,PT

  • Physical Therapist
  • Pocatello, ID
  • NPI 1518582212
  NPD Authorized official

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1023731999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 EBONY ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015609",
            "telephone_number": "208-470-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 EBONY ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015609",
            "telephone_number": "208-470-6658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1812 E Clark St",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832013317",
            "country_code": "US",
            "telephone_number": "208-470-6658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNLIMITED POTENTIAL PERFORMANCE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-470-6658",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Maurine Tyrrell
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• University of Utah Pediatric Services (Portneuf Medical Center - Pediatric Cardiology)
• University of Utah Pediatric Services (Pediatric EP Cardiology - Pocatello)
• Alexander G Urfer, PT
• Urology Center of Idaho PLLC
• Kaitlin Bailey Livesay Vail
• Jason Valenzuela
• Valley Dental PA (Kidds Dental)

• Physical Therapy Clinic/Center in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Physical Therapy Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.