Active NPI
Tanya M Penny, OT
- Occupational Therapist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 693
- 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
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 | 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, HI
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 693 | ID | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic and Neurological Rehab Inc | Current | Accepting new patients | |
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Current | Accepting new patients | |
| Hawaiian Rehabilitation Services Inc | Current | 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
- 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.
-
- Rehabilitation Clinic/Center
- Kailua-Kona, HI
- NPI 1518935162
-
- Rehabilitation Clinic/Center
- Tustin, CA
- NPI 1548940885
-
- Family Medicine Physician
- Nampa, ID
- NPI 1376574442
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.