Active NPI
Macaile Hutt, MASTERS IN OT
- Occupational Therapist
- Boise, ID
National Provider Identifier
1043689474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1479
- Practice address
- 1172 W Franklin Rd
Boise, ID 83709 - Phone
- (208) 375-4200
- Fax
- (208) 375-4201
- NPI assigned
- Sep 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1479 | ID | Primary |
Addresses
Primary practice location
1172 W Franklin Rd
Boise, ID 83709
Mailing address
2172 S Tollgate PL
Boise, ID 83709-2300
Phone (208) 375-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1479 | ID | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1043689474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2172 S TOLLGATE PL",
"city": "BOISE",
"state": "ID",
"postal_code": "837092300",
"telephone_number": "208-375-4200",
"fax_number": "208-375-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1172 W FRANKLIN RD",
"city": "BOISE",
"state": "ID",
"postal_code": "83709",
"telephone_number": "208-375-4200",
"fax_number": "208-375-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTT",
"first_name": "MACAILE",
"credential": "MASTERS IN OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-16",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT1479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.