Chase Lane Andriopoulos, OTR/L
Individual provider Active NPI Pediatric Occupational Therapist · Hayden, ID
NPI 1225568231 · NPPES record last updated Apr 5, 2024
Key facts
- NPI
- 1225568231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- OT-2926 (ID)
- Practice address
- 8152 N Wayne Blvd
Hayden, ID 83835-5031 - Phone
- (208) 625-9666
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT60758429 | WA | MD | Occupational Therapist |
| OT-2926 | ID | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Tree Therapy LLC | Occupational Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT60758429 | WA | |
| Pediatric Occupational Therapist | 225XP0200X | OT-2926 | ID | Yes |
Addresses
Primary practice location
8152 N Wayne Blvd
Hayden, ID 83835-5031
Mailing address
3728 N Britton Rd
Post Falls, ID 83854-4845
Other providers in Hayden, ID
- Alysha Summer Allen
- Holly B Alling
- Kailyn Alt
- Amaris Associates, PLLC
- Shannon Andrews
- Marissa Armour
- Katelin Nicole Arnold
- Inga Arts
- Assisted Living Concepts Inc
- Koy Atkinson
All providers in Hayden, ID · Pediatric 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 Apr 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.