Individual provider Active NPI

Virginia Taft, OTR-L

  • Occupational Therapist
  • Coeur D'Alene, ID
National Provider Identifier
1295718948
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-047 Issued in ID
Practice address
2448 Merritt Creek Loop
Suite 2a
Coeur D'Alene, ID 83814-4953
Phone
(208) 664-2901
Fax
(208) 667-9266
NPI assigned
Nov 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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 OT-047 ID Primary

Addresses

Primary practice location

2448 Merritt Creek Loop
Suite 2a
Coeur D'Alene, ID 83814-4953

Mailing address

2448 Merritt Creek Loop
Suite 2a
Coeur D'Alene, ID 83814-4953
Phone (208) 664-2901

Other identifiers 14

IdentifierTypeStateIssuer
82-0534955OtherSTERLING
82-0534955OtherSTATE INS FUND
20782OtherGROUP HEALTH
QMXPR0060660OtherMOLINA
820534955OtherIPN
82053495583814A002OtherTRIWEST/TRICARE
907654145MedicaidID
185598800OtherFEDERAL L&I
5003984OtherREGENCE MEDADVANTAGE
DA3588OtherRAILROAD MEDICARE
W0640OtherBLUE CROSS
000010020481OtherBLUE SHIELD
066519OtherWA L&I
60259OtherFIRST CHOICE

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

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1295718948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 MERRITT CREEK LOOP",
            "address_2": "SUITE 2A",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838144953",
            "telephone_number": "208-664-2901",
            "fax_number": "208-667-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 MERRITT CREEK LOOP",
            "address_2": "SUITE 2A",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838144953",
            "telephone_number": "208-664-2901",
            "fax_number": "208-667-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFT",
        "first_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "OTR-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING",
            "identifier": "82-0534955",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE INS FUND",
            "identifier": "82-0534955",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "20782",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "QMXPR0060660",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IPN",
            "identifier": "820534955",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST/TRICARE",
            "identifier": "82053495583814A002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "907654145",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL L&I",
            "identifier": "185598800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE MEDADVANTAGE",
            "identifier": "5003984",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA3588",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "W0640",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010020481",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "066519",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CHOICE",
            "identifier": "60259",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.