Selena Bach, OT
Individual provider Active NPI Occupational Therapist · Sandpoint, ID
NPI 1063905487 · NPPES record last updated Nov 11, 2025
Key facts
- NPI
- 1063905487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTP-OT-LIC-9952 (MT)
- Practice address
- 1905 Pine St
Sandpoint, ID 83864-8311 - Phone
- (208) 263-7998
- NPI assigned
- Jun 11, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
108 N 2ND St
Hamilton, MT 59840-2590
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251014002259 | MT | Practitioner - Occupational Therapist in Private Practice | 6204261233 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-1865 | ID | MD | Occupational Therapist |
| OTP-OT-LIC-9952 | MT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harp Occupational Therapy and Wellness, LLC | Occupational Therapist | Current |
Accepting new patients |
| Therapy Management Services, PLLC | Occupational Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTP-OT-LIC-9952 | MT | Yes |
| Occupational Therapist | 225X00000X | OT-1865 | ID |
Addresses
Primary practice location
1905 Pine St
Sandpoint, ID 83864-8311
Mailing address
1905 Pine St
Sandpoint, ID 83864-8311
Other providers in Sandpoint, ID
- Ash Tree Wellness, LLC
- Susan Marie Ashford Tucker
- Atman Counseling
- Sandra Avy
- Donnamarie Aylward
- Anne Marie Baggenstoss
- Brett E Bajema
- Baker Chiropractic Clinic PC
- Christina Jane Baker
- Rick Allan Baker
All providers in Sandpoint, ID · Occupational Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.