Organization Active NPI

J Gorriceta PLLC

  • Physical Therapy Clinic/Center
  • Pocatello, ID
National Provider Identifier
1689349300
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
J GORRICETA PLLC
Practice address
151 N 4TH Ave
Ste a
Pocatello, ID 83201-6300
Phone
(208) 534-8330
Fax
(208) 218-8161
NPI assigned
Aug 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Joseph Gorricetta, PT
Title
Owner
Phone
(208) 534-8330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

151 N 4TH Ave
Ste a
Pocatello, ID 83201-6300

Mailing address

151 N 4TH Ave Ste a
Pocatello, ID 83201-6300
Phone (208) 534-8330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210909002322 ID Part B Supplier - Clinic/Group Practice 9032515507 Receives reassigned benefits from 1 practitioner
Practice locations: Pocatello, ID

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gateway Transitional Care CenterPocatello, ID, CCN 135011 Skilled nursing facility Operational/Managerial Control Oct 1, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1689349300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N 4TH AVE STE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016300",
            "telephone_number": "208-534-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N 4TH AVE",
            "address_2": "STE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016300",
            "telephone_number": "208-534-8330",
            "fax_number": "208-218-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J GORRICETA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "GORRICETTA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-534-8330",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.