Active NPI
Valerie Wood, OTR/L
- Occupational Therapist
- Kellogg, ID
National Provider Identifier
1366609885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-761
- Practice address
- 601 W Cameron Ave
Kellogg, ID 83837-2004 - Phone
- (208) 784-1283
- NPI assigned
- May 21, 2008
- Last updated
- Nov 6, 2013
- 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 | OT-761 | ID | Primary |
Addresses
Primary practice location
601 W Cameron Ave
Kellogg, ID 83837-2004
Mailing address
30433 S Chester Dr
Harrison, ID 83833-9451
Phone (208) 512-3902
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": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1366609885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30433 S CHESTER DR",
"city": "HARRISON",
"state": "ID",
"postal_code": "838339451",
"telephone_number": "208-512-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W CAMERON AVE",
"city": "KELLOGG",
"state": "ID",
"postal_code": "838372004",
"telephone_number": "208-784-1283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "VALERIE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT-761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kellogg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.