Individual provider Active NPI

Whitney J Sauer

  • Occupational Therapist
  • Nampa, ID
National Provider Identifier
1508548967
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-1462 Issued in ID
Practice address
5560 E Franklin Rd
Nampa, ID 83687-8450
Phone
(208) 463-0700
Fax
(208) 463-0760
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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 OT-1462 ID Primary

Addresses

Primary practice location

5560 E Franklin Rd
Nampa, ID 83687-8450

Mailing address

7201 W Clearwater Ave Ste B101
Kennewick, WA 99336-1694
Phone (509) 544-0265

Other names 1

  • Whitney J Tackett Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230907002989 ID Practitioner - Occupational Therapist in Private Practice 1759745854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Physical Therapy Inc PSGroup PAC ID 6305747643, 44 clinicians

Practice addresses (Care Compare)

5560 E Franklin Rd
Nampa, ID 83687-8450
Phone (208) 463-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-1462IDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Physical Therapy Inc PS CurrentSince Aug 1, 2023 Accepting new patients

Locations

2470 N Stokesberry Pl
Meridian, ID 83646
Phone (208) 884-8323

5560 E Franklin Rd
Nampa, ID 83687
Phone (208) 463-0700

7201 W Clearwater Ave
Kennewick, WA 99336

7201 W Clearwater Ave
Ste B101
Kennewick, WA 99336
Phone (509) 544-0265

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": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1508548967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 W CLEARWATER AVE STE B101",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361694",
            "telephone_number": "509-544-0265",
            "fax_number": "509-987-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 E FRANKLIN RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878450",
            "telephone_number": "208-463-0700",
            "fax_number": "208-463-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUER",
        "first_name": "WHITNEY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-1462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "TACKETT",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.

Verify at the official NPI Registry.