Individual provider Active NPI

Nancy Jane Akin, O.T.R./L

  • Occupational Therapist
  • Moscow, ID
National Provider Identifier
1386970036
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT458 Issued in ID
Practice address
872 Troy Rd
Moscow, ID 83843-4046
Phone
(208) 892-8888
Fax
(208) 882-8890
NPI assigned
Oct 29, 2009
Last updated
Oct 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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 OT458 ID Primary

Addresses

Primary practice location

872 Troy Rd
Moscow, ID 83843-4046

Mailing address

872 Troy Rd
Moscow, ID 83843-4046
Phone (208) 892-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221015000092 NC Practitioner - Occupational Therapist in Private Practice 9537290408 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11382NCMDPharmacist
OT458IDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Fowler, PT, Inc. CurrentSince Oct 4, 2022 Accepting new patients
Light Touch Craniosacral Therapy Occupational Therapist Current Accepting new patients
Elements of Wellness Aquatic and Manual Therapy Inc. Past Accepting new patients

Locations

828 Fleming St
Ste A
Hendersonvlle, NC 28791
Phone (828) 697-4330

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1386970036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 TROY RD",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838434046",
            "telephone_number": "208-892-8888",
            "fax_number": "208-882-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 TROY RD",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838434046",
            "telephone_number": "208-892-8888",
            "fax_number": "208-882-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKIN",
        "first_name": "NANCY",
        "middle_name": "JANE",
        "credential": "O.T.R./L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.