Organization Active NPI

Lindley Kessler Pediatric Occupational Therapy Source

  • Occupational Therapist
  • Boise, ID
National Provider Identifier
1275096000
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LINDLEY KESSLER PEDIATRIC OCCUPATIONAL THERAPY SOURCE
Practice address
2811 W Heather PL
Boise, ID 83702-1428
Phone
(208) 631-7366
NPI assigned
Apr 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Authorized official

Name
Mrs. Farrell S. Lindley Kessler, OTR/LNPI 1518036839
Title
President
Phone
(208) 631-7366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

2811 W Heather PL
Boise, ID 83702-1428

Mailing address

2811 W Heather PL
Boise, ID 83702-1428
Phone (208) 631-7366

National Provider Directory

National Provider Directory
Tax ID family
Lindley Kessler Pediatric Occupational Therapy Source2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1275096000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 W HEATHER PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837021428",
            "telephone_number": "208-631-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 W HEATHER PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837021428",
            "telephone_number": "208-631-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDLEY KESSLER PEDIATRIC OCCUPATIONAL THERAPY SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "LINDLEY KESSLER",
        "authorized_official_first_name": "FARRELL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-631-7366",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.