SHANNON TARA BARLOW PT
NPI 1457083487
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Pocatello, ID

Active since June 28, 2022
1001 N 7TH AVE STE 205, POCATELLO, ID 83201(208) 239-1490(208) 239-1794 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2024, Sep 20, 2024 (2 updates tracked since 2024).

About Shannon Tara Barlow Pt NPPES

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

SHANNON TARA BARLOW PT (NPI 1457083487) is an individual pediatric rehabilitation medicine provider in Pocatello, Idaho, licensed in Idaho (PT-1900) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1457083487
Entity TypeIndividualFemale
Primary Taxonomy2081P0010X
Provider Legal NameSHANNON TARA BARLOWCredential: PT
Location Address1001 N 7TH AVE STE 205Pocatello, ID 83201-5761
Mailing Address1001 N 7th Ave Ste 280Pocatello, ID 83201-5788 · (208) 239-1490 · Fax (208) 239-1794
Fax(208) 239-1794
Sole ProprietorYes
Enumeration DateJune 28, 2022
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
NPI 1457083487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0010X
License Licensed in ID · PT-1900
Definition
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License PT-1900 (ID)
1001 N 7TH AVE STE 205, Pocatello, ID 83201

Other Names 1

Former Name (1)Shannon Tara Cook

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Pediatrics)
1001 N 7TH AVE STE 205
POCATELLO, ID 83201

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 Shannon Barlow's NPI number?

The NPI number for Shannon Barlow is 1457083487. It was assigned to this individual provider in the NPPES registry on June 28, 2022. The provider is also known as Shannon Tara Cook.

Where is Shannon Barlow located?

Shannon Barlow practices at 1001 N 7th Ave Ste 205, Pocatello, ID 83201. The listed phone number is (208) 239-1490.

What is Shannon Barlow's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

What insurance does Shannon Barlow accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Shannon Barlow 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 Shannon Barlow was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.