Noah Daniel Adams

Individual provider Active NPI Pediatric Occupational Therapist · Idaho Falls, ID

NPI 1225759616 · NPPES record last updated Sep 6, 2022

Key facts

NPI
1225759616
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
OT-2637 (ID)
Practice address
1460 Elk Creek Dr
Idaho Falls, ID 83404-8237
Phone
(208) 535-1286
NPI assigned
Sep 6, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT-2637IDMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech and Language Clinic, Inc Past
since Sep 11, 2022
Accepting new patients
Mountain View Hospital LLC Past
since Sep 11, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT-2637 ID Yes

Addresses

Primary practice location

1460 Elk Creek Dr
Idaho Falls, ID 83404-8237

Mailing address

1460 Elk Creek Dr
Idaho Falls, ID 83404-8237

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL connectionstherapies.com Direct

Other providers in Idaho Falls, ID

All providers in Idaho Falls, ID · Pediatric Occupational Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.