Active NPI
J Gorriceta PLLC
- Physical Therapy Clinic/Center
- Pocatello, ID
National Provider Identifier
1689349300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
National Provider Directory
National Provider DirectoryOwnership & 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Gateway Transitional Care Center | 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.
-
- Skilled Nursing Facility
- Pocatello, ID
- NPI 1407956253
Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Pocatello, ID
- NPI 1811461056
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.