Mr Robert Lance Marshall, PT, DPT, MS | |
333 N 18th Ave Ste D2, Pocatello, ID 83201-3358 | |
(208) 232-6490 | |
(208) 234-4805 |
Full Name | Mr Robert Lance Marshall |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 29 Years |
Location | 333 N 18th Ave Ste D2, Pocatello, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376688648 | NPI | - | NPPES |
805858600 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-1003 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Proortho Physical Therapy Pllc | 4789950122 | 2 |
Provider Name | Proortho Physical Therapy Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194241380 PECOS PAC ID: 4789950122 Enrollment ID: O20171030002370 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert Lance Marshall, PT, DPT, MS 333 N 18th Ave Ste D2, Pocatello, ID 83201-3358 Ph: (208) 232-6490 | Mr Robert Lance Marshall, PT, DPT, MS 333 N 18th Ave Ste D2, Pocatello, ID 83201-3358 Ph: (208) 232-6490 |
Dr. Jared Denor Lundquist, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2450 Skylar Pl, Pocatello, ID 83201 Phone: 435-339-9058 | |
Bart William Mcdonald, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr, 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219 | |
Mr. Trent Jackman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Garrison Bldg 63, Room 202, Stop 8045, Pocatello, ID 83209 Phone: 208-282-3065 | |
Laura M Sprague, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 Vista Dr, Suite A, Pocatello, ID 83201 Phone: 208-478-1488 Fax: 208-478-1498 | |
Mr. Joshua Strait, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr Ste 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219 | |
Kaitlin Bailey Livesay Vail, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 921 S 8th Ave Stop 8045, Pocatello, ID 83201 Phone: 208-282-4095 | |
Streamline Sports Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 335 E Lewis St Ste 10, Pocatello, ID 83201 Phone: 208-269-2360 Fax: 208-550-3256 |