Individual provider Active NPI

Halle London Thomson-Kidwell

  • Occupational Therapist
  • Pocatello, ID
National Provider Identifier
1245161124
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2381314 Issued in ID
Practice address
444 Hospital Way Ste 720
Pocatello, ID 83201-2717
Phone
(208) 478-0258
NPI assigned
May 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2381314 ID Primary

Addresses

Primary practice location

444 Hospital Way Ste 720
Pocatello, ID 83201-2717

Mailing address

444 Hospital Way Ste 720
Pocatello, ID 83201-2717

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

444 Hospital Way
Suite 720
Pocatello, ID 83201-2701

444 Hospital Way
Suite 720
Pocatello, ID 83201-2717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2381314IDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand and Upper Extremity Center, Inc Occupational Therapist PastSince Mar 25, 2019 Accepting new patients
Kokua Rehabilitation Occupational Therapist PastSince Sep 8, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1245161124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 HOSPITAL WAY STE 720",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 HOSPITAL WAY STE 720",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012717",
            "telephone_number": "208-478-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON-KIDWELL",
        "first_name": "HALLE",
        "middle_name": "LONDON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "2381314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.