Active NPI
Taryn Gould
- Pediatric Occupational Therapist
- Post Falls, ID
National Provider Identifier
1043787955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2928
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 60911893 | WA | MD | Occupational Therapist |
| 2928 | ID | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tandy Therapy LLC | Occupational Therapist | Current | 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.