NPIMap

Organization Active NPI

Adapt Therapy LLC

  • Pediatric Occupational Therapist
  • Meridian, ID
National Provider Identifier
1013683846
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
ADAPT THERAPY LLC
Practice address
3368 E Goldstone Dr
Meridian, ID 83642-1026
Phone
(208) 899-7992
Fax
(208) 795-8927
NPI assigned
Aug 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jared Austin Purvis, OTR/ LNPI 1356887301
Title
Owner
Phone
(208) 870-3258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

3368 E Goldstone Dr
Meridian, ID 83642-1026

Mailing address

1886 S Pelican Ave
Meridian, ID 83642-4747
Phone (208) 870-3258

National Provider Directory

National Provider Directory

Locations

3368 E Goldstone Dr
Meridian, ID 83642
Phone (208) 899-7992

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1013683846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 S PELICAN AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424747",
            "telephone_number": "208-870-3258",
            "fax_number": "208-795-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-899-7992",
            "fax_number": "208-795-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-870-3258",
        "authorized_official_credential": "OTR/ L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.