Organization
CENTER FOR ORTHOPEDIC REHABILITATION
Active
Organization
CENTER FOR ORTHOPEDIC REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN T BATES MPT (PRESIDENT)
(208) 232-4267
Entity
Organization
Contact information
Practice address
275 S 5TH AVE STE 140, POCATELLO, ID 83201-6410
(208) 232-4267
(208) 232-4268
Mailing address
275 S 5TH AVE STE 140, POCATELLO, ID 83201-6410
(208) 232-4267
(208) 232-4268
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1730
ID
225100000X
Physical Therapist
PT-2487
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806506300
—
ID
Enumeration date
01/08/2007
Last updated
12/09/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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