Physical Therapy Specialists of Idaho

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2070 Issued in ID

Legal business name

PHYSICAL THERAPY SPECIALISTS OF IDAHO

Practice address

2240 E Center St
Suite D
Pocatello, ID 83201-2600

Phone

(208) 478-1488

NPI assigned

Nov 1, 2013

Last updated

Sep 19, 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

Corey Layne RasmussenNPI 1578665329

Title

Owner

Phone

(208) 478-1488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 8

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.

• Corey Layne Rasmussen, DPT

  • Physical Therapist
  • Pocatello, ID
  • NPI 1578665329
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa Merrill Arrington, DPT, ATC

  • Physical Therapist
  • Pocatello, ID
  • NPI 1912225335
  Medicare reassignment Care Compare group NPD
• Brittany Garrett, DPT

  • Physical Therapist
  • Pocatello, ID
  • NPI 1144012550
  Medicare reassignment Care Compare group NPD
• William Scott Harris, DPT

  • Physical Therapist
  • Pocatello, ID
  • NPI 1366989659
  Medicare reassignment Care Compare group NPD
• Richard Brendon Lee

  • Physical Therapist
  • Pocatello, ID
  • NPI 1316789720
  Medicare reassignment Care Compare group NPD
• Kenneth Blair Reed, DPT,PT

  • Physical Therapist
  • Pocatello, ID
  • NPI 1518582212
  Medicare reassignment Care Compare group NPD
• Abigail Warner, PT, DPT

  • Physical Therapist
  • Pocatello, ID
  • NPI 1487446910
  Medicare reassignment Care Compare group NPD
• Tyler Sebring, PT, DPT

  • Orthopedic Physical Therapist
  • Pocatello, ID
  • NPI 1275109522
  NPD

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1548699465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 YELLOWSTONE AVE STE 1A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014511",
            "telephone_number": "208-478-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E CENTER ST",
            "address_2": "SUITE D",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012600",
            "telephone_number": "208-478-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SPECIALISTS OF IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "LAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-478-1488"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PHS Ambulatory Services LLC
• PHS MD #1, LLC
• PHS MD #1, LLC (Pocatello Family Medicine)
• PHS MD #2, LLC
• Brittney Bonwai Phu
• Physical Therapy Sports & Rehab
• Physicians Mental Health Services
• Physio Therapeutics, PLLC
• Aaron Isaac Pierce, OT
• Ashley Ann Pierce, TSLP

• Physical Therapist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.