Bryan Mark Gee, OTR/L, MS, OTD
Individual provider Active NPI Pediatric Occupational Therapist · Pocatello, ID
NPI 1457546467 · NPPES record last updated Sep 12, 2007
Key facts
- NPI
- 1457546467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 842 (ID)
- Practice address
- Campus Box 8045
Pocatello, ID 83209-0001 - Phone
- (208) 282-2590
- NPI assigned
- Sep 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 842 | ID | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Therapy Services, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 842 | ID | Yes |
Addresses
Primary practice location
Campus Box 8045
Pocatello, ID 83209-0001
Mailing address
Campus Box 8045
Pocatello, ID 83209-0001
Other providers in Pocatello, ID
- Gateway Counseling, Inc
- Sarah Marie Gaudet
- Adam Gault
- Renee Gault
- Lorri D Gebo-Shaver
- Cydnee L Gee
- Gem Prep: Pocatello, LLC
- Gem State Hospital Medicine Physicians LLC
- Genuine Medical Services LLC
- Rachel Erin Geoghegan
All providers in Pocatello, ID · Pediatric Occupational Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.