Jill Suzanne Painter, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

10422 Issued in CA

Practice address

1591 N Mansfield PL
Eagle, ID 83616-6649

Phone

(408) 865-1365

NPI assigned

Oct 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Foundations Pediatric Therapy PLLC

  • Pediatric Occupational Therapist
  • Middleton, ID
  • NPI 1295339620

  Pediatrics

  NPD (past)
• Development Is Child's Play

  • Occupational Therapist
  • Cupertino, CA
  • NPI 1659333664
  NPD (past)
• Development Is Child's Play

  • Pediatric Occupational Therapist
  • Cupertino, CA
  • NPI 1932645496

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1508332958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 N MANSFIELD PL",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166649",
            "telephone_number": "408-865-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 N MANSFIELD PL",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166649",
            "telephone_number": "408-865-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "JILL",
        "middle_name": "SUZANNE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2022-06-20",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ID",
            "license": "OT-2451",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "10422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Overton
• Susan Marguerite Owen
• Randi Owsley, MSW
• Pam Padilla, PT
• Pain Care Clinic of Idaho, P.C.
• Ashley Palma
• Carol Pangburn
• Paradigms Counseling, LLC
• Claudia Parcells, NP
• Malynn Parks

• Pediatric Occupational Therapist in Eagle, ID
• Providers in Eagle, ID by specialty
• Pediatric Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.