Individual provider Active NPI

Julie Painter, MOT

  • Occupational Therapist
  • Ashton, ID
National Provider Identifier
1265268346
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2170 Issued in ID
Practice address
700 N 2ND St
Ashton, ID 83420-5105
Phone
(208) 359-9570
NPI assigned
Sep 13, 2024
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 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 OTP-OT-LIC-3328 MT
Occupational Therapist 225X00000X OT-2170 ID Primary

Addresses

Primary practice location

700 N 2ND St
Ashton, ID 83420-5105

Mailing address

36 Professional PLZ Ste 110
Rexburg, ID 83440-2049
Phone (208) 359-9570

Other practice location 1

36 Professional Plz Ste 110
Rexburg, ID 83440-2049
Phone (208) 359-9570

Other names 1

  • Julie Zimmerman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022002892 ID Practitioner - Occupational Therapist in Private Practice 6002348562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHD Therapies PLLCGroup PAC ID 7113201831, 4 clinicians

Practice addresses (Care Compare)

36 Professional PLZ
Suite 110
Rexburg, ID 83440-2049
Phone (208) 359-9570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTP-OT-LIC-3328MTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MHD Therapies, PLLC Occupational Therapist CurrentSince Aug 19, 2024 Accepting new patients

Locations

700 N 2nd St
Ashton, ID 83420
Phone (208) 356-9456

36 Professional Plz
Ste 110
Rexburg, ID 83440
Phone (208) 359-9570

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": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1265268346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PROFESSIONAL PLZ STE 110",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402049",
            "telephone_number": "208-359-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N 2ND ST",
            "city": "ASHTON",
            "state": "ID",
            "postal_code": "834205105",
            "telephone_number": "208-359-9570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Professional Plz Ste 110",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834402049",
            "country_code": "US",
            "telephone_number": "208-359-9570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "JULIE",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "OTP-OT-LIC-3328",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-2170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ZIMMERMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashton, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.