Generations Occupational Therapy

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

OT-849 Issued in ID

Legal business name

GENERATIONS OCCUPATIONAL THERAPY

Practice address

3715 Woodking Dr
Idaho Falls, ID 83404-4720

Phone

(208) 521-3253

Fax

(208) 529-2022

NPI assigned

Jul 28, 2014

Organization subpart

No

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

Authorized official

Name

Lisa K Hong, MOTR/LNPI 1295135028

Title

President

Phone

(208) 521-3253

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Hong, MOTR/L

  • Occupational Therapist
  • Idaho Falls, ID
  • NPI 1295135028
  NPD (past) Authorized official

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1689082182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 MELROSE DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013250",
            "telephone_number": "208-521-3253",
            "fax_number": "208-529-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 WOODKING DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044720",
            "telephone_number": "208-521-3253",
            "fax_number": "208-529-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-521-3253",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "ID",
            "license": "OT-849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Gebs, FNP-C
• Gem Prep: Idaho Falls, LLC
• Gem State Regional Dialysis Center
• Gene K Hodges MD
• Gene K. Hodges M.D.
• Genesis Women'S Health Non-Profit Corporation
• Nathaniel Dean Genther, LMSW
• Clayton Gentillon
• Jeremy George, BS
• Paul A Gerlach, MD

• Rehabilitation Clinic/Center in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Rehabilitation Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.