Individual provider Active NPI

Elisha Farnsworth Lee, OTR/L

  • Occupational Therapist
  • Pocatello, ID
National Provider Identifier
1437969888
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7861363 Issued in ID
Practice address
1448 E Center St Ste G
Pocatello, ID 83201-4132
Phone
(208) 547-7145
Fax
(884) 671-7145
NPI assigned
Jan 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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 7861363 ID Primary

Addresses

Primary practice location

1448 E Center St Ste G
Pocatello, ID 83201-4132

Mailing address

1448 E Center St Ste G
Pocatello, ID 83201-4132
Phone (208) 547-7145

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7861363IDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Blossoms LLC Occupational Therapist CurrentSince Jan 12, 2025 Accepting new patients

Locations

1448 E Center St
Ste G
Pocatello, ID 83201
Phone (208) 547-7145

Organizations & group practices 1

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": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1437969888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 E CENTER ST STE G",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014132",
            "telephone_number": "208-547-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 E CENTER ST STE G",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014132",
            "telephone_number": "208-547-7145",
            "fax_number": "884-671-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ELISHA",
        "middle_name": "FARNSWORTH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "7861363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.