Barbara K Peterson, OCCUPT. THERAPIST

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-884 Issued in ID

Practice address

1033 W Quinn Rd
Pocatello, ID 83202-2425

Phone

(208) 233-4800

Fax

(208) 233-4887

NPI assigned

May 2, 2006

Last updated

Feb 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1265490080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 W QUINN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832022425",
            "telephone_number": "208-233-4800",
            "fax_number": "208-233-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 W QUINN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832022425",
            "telephone_number": "208-233-4800",
            "fax_number": "208-233-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BARBARA",
        "middle_name": "K",
        "credential": "OCCUPT. THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "00822",
            "identifier": "LICENSE #",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylee Michelle Permann, OTD, OTR/L
• Patrick Perot
• Alexis Ann Peters
• Steven Peters
• James D Petersen, MD
• Brittany Ann Peterson, OTR/L
• Cody Allen Peterson, M.D.
• Emilie L Peterson, DPT
• Hannah Nicole Peterson, LMT
• Tamra J Peterson, LMSW, CADC

• Occupational Therapist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.