Active NPI
Sheila L Balison, OT
- Occupational Therapist
- St Maries, ID
National Provider Identifier
1285948638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT468
- Practice address
- 820 Elm Dr
St Maries, ID 83861-2119 - Phone
- (208) 245-4576
- Fax
- (208) 245-2138
- NPI assigned
- Jul 27, 2010
- Last updated
- Jul 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT468 | ID | Primary |
Addresses
Primary practice location
820 Elm Dr
St Maries, ID 83861-2119
Mailing address
3708 Grandview Dr
Sandpoint, ID 83864-7425
Phone (208) 610-6155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805673300 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT468 | ID | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1285948638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3708 GRANDVIEW DR",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838647425",
"telephone_number": "208-610-6155",
"fax_number": "208-245-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 ELM DR",
"city": "ST MARIES",
"state": "ID",
"postal_code": "838612119",
"telephone_number": "208-245-4576",
"fax_number": "208-245-2138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALISON",
"first_name": "SHEILA",
"middle_name": "L",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805673300",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Maries, ID
- Alternative Community Enrichment Services, Inc (ACES Community Services, INC)
- Answers and Alternatives
- Stephanie Marie Arar, MD
- Stephanie Nielsen Baker, FNP
- Balanced Life Counseling Services, LLC
- Danyell Barden
- Jeffrey Alan Bash, PHARM-D
- Miriam Basye, PT, DPT
- Catherine Frances Bean
- Allan Jess Becktel, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.