Robin Rutherford, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

N16A00147165 Issued in ID

Practice address

527 Memorial Dr
Pocatello, ID 83201-4063

Phone

(208) 478-3333

NPI assigned

Dec 29, 2016

Sex

Female

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

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1386189306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 E CENTER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013309",
            "telephone_number": "208-965-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MEMORIAL DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014063",
            "telephone_number": "208-478-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "ROBIN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ID",
            "license": "N16A00147165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rufus O. Van Dyke, D.D.S., M.CL.D
• Jennifer Ruiz
• Richard Willis Runyan, M.D.
• Nadilyn Michelle Rushton, OTL-2777
• Madison Russell
• Carol Ruud
• Ryan D. Hope, M.D., LLC
• Kenneth Ryan, MD
• Victoria Eleanor Ryan, PA-C
• S. Jeff Bray, DPM, Inc.

• Occupational Therapy Assistant in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Occupational Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.