Individual provider Active NPI

Trevor Behler

  • Gerontology Occupational Therapist
  • Boise, ID
National Provider Identifier
1659858819
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
Practice address
190 E Bannock St
Boise, ID 83712-6241
Phone
(208) 381-2222
NPI assigned
Jul 20, 2018
Last updated
Aug 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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 WY
Gerontology Occupational Therapist 225XG0600X Primary

Addresses

Primary practice location

190 E Bannock St
Boise, ID 83712-6241

Mailing address

235 Cherry St
Slatington, PA 18080-2005
Phone (484) 547-4150

Other practice location 1

21 Searles Rd
Windham, NH 03087-1203
Phone (603) 890-1290

Other practice location 2

503 S 18th St
Laramie, WY 82070-4303
Phone (307) 742-3728

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

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1659858819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CHERRY ST",
            "city": "SLATINGTON",
            "state": "PA",
            "postal_code": "180802005",
            "telephone_number": "484-547-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Searles Rd",
            "address_purpose": "LOCATION",
            "city": "Windham",
            "state": "NH",
            "postal_code": "030871203",
            "country_code": "US",
            "telephone_number": "603-890-1290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "503 S 18th St",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820704303",
            "country_code": "US",
            "telephone_number": "307-742-3728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHLER",
        "first_name": "TREVOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-20",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": null,
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.