NPIMap

Organization Active NPI

Camp Hippo Pediatric Therapy LLC

  • Occupational Therapist
  • Blackfoot, ID
National Provider Identifier
1609032267
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 232 Issued in ID
Legal business name
CAMP HIPPO PEDIATRIC THERAPY LLC
Practice address
7 N 600 W
Blackfoot, ID 83221-5533
Phone
(208) 782-2267
NPI assigned
Aug 4, 2008
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Mrs. Morgen Tayler Stott, MOTR/LNPI 1154095487
Title
Occupational Therapist
Phone
(208) 782-2267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTA 2406 ID
Occupational Therapist 225X00000X NU
Occupational Therapist 225X00000X OT 232 ID Primary
Speech-Language Pathologist 235Z00000X 12125357 ID

Addresses

Primary practice location

7 N 600 W
Blackfoot, ID 83221-5533

Mailing address

7 N 600 W
Blackfoot, ID 83221-5533
Phone (208) 782-2267

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091022000349 ID Part B Supplier - Clinic/Group Practice 3678610706 Receives reassigned benefits from 3 practitioners
Practice locations: Blackfoot, ID; Challis, ID

National Provider Directory

National Provider Directory
Tax ID family
Camp Hippo Pediatric Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1609032267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N 600 W",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832215533",
            "telephone_number": "208-782-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N 600 W",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832215533",
            "telephone_number": "208-782-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP HIPPO PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "STOTT",
        "authorized_official_first_name": "MORGEN",
        "authorized_official_middle_name": "TAYLER",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "208-782-2267",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PTA 2406",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT 232",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "12125357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackfoot, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.