NPIMap

Individual provider Active NPI

Robin Elizabeth Bradbury Vanhouten, O.T.R./L.

  • Occupational Therapist
  • Coeur d'Alene, ID
National Provider Identifier
1356414981
Registry record updated Jul 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00004340 Issued in WA
Practice address
1013 E Coeur Dalene Ave
Coeur D Alene, ID 83814-4121
Phone
(208) 755-8511
Fax
(999) 999-9999
NPI assigned
Nov 15, 2006
Last updated
Jul 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT00004340 WA Primary
Pediatric Occupational Therapist 225XP0200X OT-746 ID

Addresses

Primary practice location

1013 E Coeur Dalene Ave
Coeur D Alene, ID 83814-4121

Mailing address

509 S Sherman St
Spokane, WA 99202-4918
Phone (208) 755-8511

Other names 1

  • Robin Elizabeth Bradbury Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT00004340WAMDOccupational Therapist
OT-746IDMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Guilds' School & Neuromuscular Center Past Accepting new patients
Columbia Basin Health Association Past Accepting new patients
Therapy in Play Occupational Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341100800000",
    "number": "1356414981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S SHERMAN ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024918",
            "telephone_number": "208-755-8511",
            "fax_number": "999-999-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 E COEUR DALENE AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144121",
            "telephone_number": "208-755-8511",
            "fax_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOUTEN",
        "first_name": "ROBIN ELIZABETH",
        "middle_name": "BRADBURY",
        "credential": "O.T.R./L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00004340",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ID",
            "license": "OT-746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "BRADBURY",
            "middle_name": "ELIZABETH",
            "credential": "O.T.R./L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 1, 2012; 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.