Bryan Arroyo, PT

Individual provider Active NPI Physical Therapist · Pocatello, ID

NPI 1457802191 · NPPES record last updated Oct 18, 2016

Key facts

NPI
1457802191
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT-4820 (ID)
Practice address
560 Memorial Dr Ste C
Pocatello, ID 83201-4073
Phone
(208) 269-7203
Fax
(866) 818-2688
NPI assigned
Oct 18, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT-4820IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Land Rehabilitation LLC Physical Therapist Past
since May 23, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-4820 ID Yes

Addresses

Primary practice location

560 Memorial Dr Ste C
Pocatello, ID 83201-4073

Mailing address

560 Memorial Dr Ste C
Pocatello, ID 83201-4073
Phone (208) 269-7203

Other providers in Pocatello, ID

All providers in Pocatello, ID · Physical Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.