Frank Todd Dimick, ATC, LAT, LPTA
Physical Therapy Assistant in Pocatello, ID. Individual provider (NPI-1).
NPI number1366470031
StatusActive
Last updated in NPPESJul 7, 2011
Details
- NPI
- 1366470031
- Entity type
- Individual (NPI-1)
- Name
- Frank Todd Dimick
- Credential
- ATC, LAT, LPTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2006
- Last updated
- Jul 7, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA-2676 | ID | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT094 | ID |
Practice location
560 Memorial DrSuite C
Pocatello, ID 83201-4070
Phone 208-232-4267 · Fax 208-232-4268
Mailing address
560 Memorial DrSuite C
Pocatello, ID 83201-4070
Phone 208-232-4267 · Fax 208-232-4268
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Pocatello, ID
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All 27 Physical Therapy Assistant providers in Pocatello · All 2,770 providers in Pocatello
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