PRO ORTHO PHYSICAL THERAPY PLLC
NPI 1194241380
Physical Therapist - Orthopedic in Pocatello, ID

Active since August 18, 2017
2240 E CENTER ST, POCATELLO, ID 83201(208) 478-6780(208) 478-0194 Get Directions Write a Review

NPPES record last updated: January 25, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2017, Aug 18, 2017 (2 updates tracked since 2017).

About Pro Ortho Physical Therapy Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRO ORTHO PHYSICAL THERAPY PLLC (NPI 1194241380), doing business as Advanced Performance Physical Theraphy Associates Pllc, is a healthcare organization registered as an orthopedic in Pocatello, Idaho and active in the NPI registry since August 2017. The organization lists Robert Lance Marshall, Owner, as its authorized official.

NPPES Registry Identity

NPI1194241380
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NamePRO ORTHO PHYSICAL THERAPY PLLC
Location Address2240 E CENTER STPocatello, ID 83201-2600
Mailing Address2240 E Center StPocatello, ID 83201-2600 · (208) 478-6780 · Fax (208) 478-0194
Fax(208) 478-0194
Organization SubpartNo
Authorized OfficialRobert Lance MarshallOwner · (208) 478-6780
Enumeration DateAugust 18, 2017
Last NPPES UpdateJanuary 25, 20182 updates tracked since enumeration
✔ NPI 1194241380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in ID · PT1003
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
2240 E CENTER ST, Pocatello, ID 83201

Other Names 2

Former Legal Business NameAdvanced Performance Physical Theraphy Associates Pllc
Doing Business AsAdavanced Performance Physical Therapy Associates

Other Identifiers 1

Medicaid1194241380ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pro Ortho Physical Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pro Ortho Physical Therapy PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1932510690
2240 E CENTER ST
Pocatello, ID 83201
(208) 678-1191
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1376688648
333 N 18TH AVE STE D2
Pocatello, ID 83201
(208) 232-6490
✔ Accepts Medicare0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pro Ortho Physical Therapy PLLC's NPI number?

The NPI number for Pro Ortho Physical Therapy PLLC is 1194241380. It was assigned to this organization in the NPPES registry on August 18, 2017. The provider is doing business as Adavanced Performance Physical Therapy Associates. The provider was formerly known as Advanced Performance Physical Theraphy Associates PLLC.

Where is Pro Ortho Physical Therapy PLLC located?

Pro Ortho Physical Therapy PLLC is located at 2240 E Center St, Pocatello, ID 83201. The listed phone number is (208) 478-6780.

What is Pro Ortho Physical Therapy PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Pro Ortho Physical Therapy PLLC enrolled in Medicare?

Yes. Pro Ortho Physical Therapy PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pro Ortho Physical Therapy PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Pro Ortho Physical Therapy PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pro Ortho Physical Therapy PLLC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Pro Ortho Physical Therapy PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pro Ortho Physical Therapy PLLC was last updated on January 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.