NPIMap

Individual provider Active NPI

Jobeth McKoon, OTR/L

  • Occupational Therapist
  • Post Falls, ID
National Provider Identifier
1629571500
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT1857 Issued in ID
Practice address
3372 E Jenalan
Post Falls, ID 83854-7787
Phone
(208) 262-8700
NPI assigned
Mar 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT60831671 WA
Occupational Therapist 225X00000X OT1857 ID Primary

Addresses

Primary practice location

3372 E Jenalan
Post Falls, ID 83854-7787

Mailing address

2304 N Long Rd
Spokane Valley, WA 99016-8507
Phone (509) 953-2194

Other practice location 1

1224 E Westview Ct
Spokane, WA 99218-3813
Phone (509) 465-8800

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT1857IDMDOccupational Therapist
OT60831671WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629571500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 N LONG RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990168507",
            "telephone_number": "509-953-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3372 E JENALAN",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547787",
            "telephone_number": "208-262-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 E Westview Ct",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992183813",
            "country_code": "US",
            "telephone_number": "509-465-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKOON",
        "first_name": "JOBETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60831671",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT1857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.