Jared Austin Purvis, OTL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OTL-1705 Issued in ID

Practice address

3368 E Goldstone Dr
Meridian, ID 83642-1026

Phone

(208) 899-7992

Fax

(208) 795-8927

NPI assigned

Jan 15, 2017

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Adapt Therapy LLC

  • Pediatric Occupational Therapist
  • Meridian, ID
  • NPI 1013683846

  Pediatrics

  NPD Authorized official
• OT 4 Kidz, Inc

  dba dba The Children's Therapy & Learning Center

  • Occupational Therapist
  • Eagle, ID
  • NPI 1225449085
  NPD (past)
• OT 4 Kidz, Inc

  dba The Children's Therapy & Learning Center

  • Developmental Disabilities Clinic/Center
  • Eagle, ID
  • NPI 1659029353
  NPD (past)

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

{
    "created_epoch": "1484438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1356887301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 S PELICAN AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424747",
            "telephone_number": "208-870-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-899-7992",
            "fax_number": "208-795-8927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "449 S Fitness Pl",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "ID",
            "postal_code": "836166828",
            "country_code": "US",
            "telephone_number": "208-957-6301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "JARED",
        "middle_name": "AUSTIN",
        "name_prefix": "Mr.",
        "credential": "OTL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-15",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ID",
            "license": "OTL-1705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychology Services of Idaho, PLLC
• Ansley Pugh, NP
• Joseph Michael Pulitano, DC
• Elizabeth Ann Purcell
• Pursuit Physical Therapy LLC
• Mark Thomas Pyburn, NP
• Barbara E Quattrone, MD
• Chad William Queen, DC
• Margarita Quiroz, PHARMACY TECHNICIAN
• R2MS Wellness

• Pediatric Occupational Therapist in Meridian, ID
• Providers in Meridian, ID by specialty
• Pediatric Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.