Organization Active NPI

Unbound OT PLLC

  • Occupational Therapist
  • Hayden, ID
National Provider Identifier
1104613728
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
UNBOUND OT PLLC
Practice address
617 E Burdock Loop
Hayden, ID 83835-7977
Phone
(972) 832-8734
NPI assigned
Apr 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Dr. Rebecca Markes Willson, OTR/L, OTD, MOT, ATPNPI 1821454828
Title
Owner
Phone
(972) 832-8734

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
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

617 E Burdock Loop
Hayden, ID 83835-7977

Mailing address

617 E Burdock Loop
Hayden, ID 83835-7977
Phone (972) 832-8734

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1104613728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E BURDOCK LOOP",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838357977",
            "telephone_number": "972-832-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E BURDOCK LOOP",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838357977",
            "telephone_number": "972-832-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNBOUND OT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "WILLSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MARKES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-832-8734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTR/L, OTD, MOT, ATP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.