Active NPI
Unbound OT PLLC
- Occupational Therapist
- Hayden, ID
National Provider Identifier
1104613728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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
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, ATP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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 DirectoryPractitioners & 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.
-
- Occupational Therapist
- Hayden, ID
- NPI 1821454828
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.