Individual provider Active NPI

Tanya M Penny, OT

  • Occupational Therapist
  • Boise, ID
National Provider Identifier
1386959237
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
693 Issued in ID
Practice address
7272 W Potomac Dr
Boise, ID 83704-9149
Phone
(208) 375-8222
NPI assigned
Aug 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 693 ID Primary

Addresses

Primary practice location

7272 W Potomac Dr
Boise, ID 83704-9149

Mailing address

7272 W Potomac Dr
Boise, ID 83704-9149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220222000708 CA Practitioner - Occupational Therapist in Private Practice 8729102462 Reassigns benefits to 1 organization
I20221122002448 HI Practitioner - Occupational Therapist in Private Practice 8729102462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaiian Rehabilitation Services IncGroup PAC ID 5799811345, 10 clinicians

Practice addresses (Care Compare)

75 -137 Hualalai Rd
Kailua Kona, HI 96740-3722
Phone (808) 329-0591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
693IDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic and Neurological Rehab Inc CurrentSince Oct 8, 2021 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Oct 8, 2021 Accepting new patients
Hawaiian Rehabilitation Services Inc CurrentSince Oct 1, 2022 Accepting new patients
Saltzer Medical Group, PA Past Accepting new patients

Locations

2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017

3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128

75-165 Hualalai Rd
Kailua Kona, HI 96740
Phone (808) 329-0591

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADHBAA

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1386959237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7272 W POTOMAC DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7272 W POTOMAC DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049149",
            "telephone_number": "208-375-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNY",
        "first_name": "TANYA",
        "middle_name": "M",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.