Cynthia Elaine Nelson, O.T.R./L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5708 Issued in CA

Practice address

6270 N. Government Way
Dalton Gardens, ID 83815

Phone

(208) 666-0611

Fax

(208) 664-0566

NPI assigned

Aug 21, 2009

Last updated

Nov 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Synergy Healthcare for Kids Inc.

  • Rehabilitation Clinic/Center
  • Dalton Gardens, ID
  • NPI 1518538685
  NPD

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1689806754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6270 N. GOVERNMENT WAY",
            "city": "DALTON GARDENS",
            "state": "ID",
            "postal_code": "83815",
            "telephone_number": "208-666-0611",
            "fax_number": "208-664-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 N. GOVERNMENT WAY",
            "city": "DALTON GARDENS",
            "state": "ID",
            "postal_code": "83815",
            "telephone_number": "208-666-0611",
            "fax_number": "208-664-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CYNTHIA",
        "middle_name": "ELAINE",
        "credential": "O.T.R./L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "5708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Lacy Lovitt, MS CCC-SLP
• Kami Luanne Mason, OTR/L
• Christian Mayfield
• Madison Mackenzie Miller, OTD, OTR
• Patricia Morgan, REEGT, RPSGT
• Kristina Nicholas Anderson, LSW, MASTERS STUDENT
• Open Mind Wellness
• Kevin Jon Penner, CCC-SLP
• Gabrielle Phillips
• Playwell Pediatric Therapy LLC

• Occupational Therapist in Dalton Gardens, ID
• Providers in Dalton Gardens, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.