Root & Renew Pro-Health Solutions

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

ROOT & RENEW PRO-HEALTH SOLUTIONS

Practice address

586 W 30 S
Blackfoot, ID 83221-6130

Phone

(208) 244-5122

NPI assigned

Feb 11, 2025

Organization subpart

No

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

Authorized official

Name

Jason Balls, OTR/LNPI 1124448675

Title

Owner

Phone

(208) 244-5122

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.

• Jason W Balls, OTR/L

  • Occupational Therapist
  • Blackfoot, ID
  • NPI 1124448675
  NPD Authorized official

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1699580274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 W 30 S",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832216130",
            "telephone_number": "208-244-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 W 30 S",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832216130",
            "telephone_number": "208-244-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT & RENEW PRO-HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "BALLS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-244-5122",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shane Robinson
• Rocky Mountain Physical Therapy PLLC
• Richard Saul Santillan
• Cory James Sayre, CRNA
• Ryan T Sayre, CRNA
• Schmitt Enterprises
• Dustin Cade Schmitt, MPT, CSCS

• All providers in Blackfoot, ID
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.