Individual provider Active NPI

Taryn Gould

  • Pediatric Occupational Therapist
  • Post Falls, ID
National Provider Identifier
1043787955
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2928 Issued in ID
Practice address
102 W 11TH Ave Ste a
Post Falls, ID 83854-9255
Phone
(208) 981-1111
NPI assigned
Oct 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 60911893 WA
Pediatric Occupational Therapist 225XP0200X 2928 ID Primary

Addresses

Primary practice location

102 W 11TH Ave Ste a
Post Falls, ID 83854-9255

Mailing address

PO Box 751
Fall City, WA 98024-0751

Other practice location 1

3913 324th Ave SE
Fall City, WA 98024-7700
Phone (425) 830-8768

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60911893WAMDOccupational Therapist
2928IDMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tandy Therapy LLC Occupational Therapist CurrentSince May 26, 2024 Accepting new patients

Locations

102 W 11th Ave
Ste A
Post Falls, ID 83854
Phone (208) 773-1860

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1043787955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751",
            "city": "FALL CITY",
            "state": "WA",
            "postal_code": "980240751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 11TH AVE STE A",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549255",
            "telephone_number": "208-981-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3913 324th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Fall City",
            "state": "WA",
            "postal_code": "980247700",
            "country_code": "US",
            "telephone_number": "425-830-8768",
            "fax_number": "425-952-0451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULD",
        "first_name": "TARYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60911893",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ID",
            "license": "2928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.