Active NPI
Gabriella Thalin, OTR/L
- Occupational Therapist
- Meridian, ID
National Provider Identifier
1558031104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2423
- Practice address
- 2273 E Gala St Ste 120
Meridian, ID 83642-7289 - Phone
- (208) 323-8888
- NPI assigned
- Sep 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2423 | ID | Primary |
Addresses
Primary practice location
2273 E Gala St Ste 120
Meridian, ID 83642-7289
Mailing address
2695 N Wolverine Ave
Meridian, ID 83646-3484
Phone (310) 686-4402
Other names 1
- Gabriella Thalin
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2423 | ID | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Therapy Place, Inc. | Occupational Therapist | Past | Accepting new patients |
| Children'S Therapy Place, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community Health Worker
- Boise, ID
- NPI 1447015250
-
- Occupational Therapist
- Boise, ID
- NPI 1649281577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1558031104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2695 N WOLVERINE AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836463484",
"telephone_number": "310-686-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2273 E GALA ST STE 120",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836427289",
"telephone_number": "208-323-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THALIN",
"first_name": "GABRIELLA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "2423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GABRIELLA",
"last_name": "THALIN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.