Individual provider Active NPI

Chase Lane Andriopoulos, OTR/L

  • Pediatric Occupational Therapist
  • Hayden, ID
National Provider Identifier
1225568231
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT-2926 Issued in ID
Practice address
8152 N Wayne Blvd
Hayden, ID 83835-5031
Phone
(208) 625-9666
NPI assigned
Jun 13, 2017
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT60758429 WA
Pediatric Occupational Therapist 225XP0200X OT-2926 ID Primary

Addresses

Primary practice location

8152 N Wayne Blvd
Hayden, ID 83835-5031

Mailing address

3728 N Britton Rd
Post Falls, ID 83854-4845

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

LicenseStateTypeSpecialty
OT60758429WAMDOccupational Therapist
OT-2926IDMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Tree Therapy LLC Occupational Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1225568231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 N BRITTON RD",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8152 N WAYNE BLVD",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838355031",
            "telephone_number": "208-625-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIOPOULOS",
        "first_name": "CHASE",
        "middle_name": "LANE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60758429",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ID",
            "license": "OT-2926",
            "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 Apr 5, 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.

Verify at the official NPI Registry.