Active NPI
Virginia Taft, OTR-L
- Occupational Therapist
- Coeur D'Alene, ID
National Provider Identifier
1295718948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-047
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-0534955 | Other | STERLING | |
| 82-0534955 | Other | STATE INS FUND | |
| 20782 | Other | GROUP HEALTH | |
| QMXPR0060660 | Other | MOLINA | |
| 820534955 | Other | IPN | |
| 82053495583814A002 | Other | TRIWEST/TRICARE | |
| 907654145 | Medicaid | ID | |
| 185598800 | Other | FEDERAL L&I | |
| 5003984 | Other | REGENCE MEDADVANTAGE | |
| DA3588 | Other | RAILROAD MEDICARE | |
| W0640 | Other | BLUE CROSS | |
| 000010020481 | Other | BLUE SHIELD | |
| 066519 | Other | WA L&I | |
| 60259 | Other | FIRST 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
- Christine Lee Stanton, M.S., CCC - SLP
- Christopher Alan Stoddard, DPT, OTR/L
- Heidi Jean Josenia Strong, AUD
- Shandray Surmeyer, CRC, COUNSELOR INTER
- Amanda Swindoll, LMSW
- Joel D Tenbrink, PT, ATC
- Francesca Terracciano, LPC
- Maureen E. Tiernan-Meech, PSYD
- Timber Ridge Industrial Therapy, PLLC
- Janice Lee Titherley, LMFT
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.