Tiffany Pollock, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT-547 Issued in ID

Practice address

316 E 1St St
Middleton, ID 83644

Phone

(208) 654-6161

Fax

(208) 473-7320

NPI assigned

Oct 15, 2014

Last updated

Apr 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Foundations Pediatric Therapy PLLC

  • Pediatric Occupational Therapist
  • Middleton, ID
  • NPI 1295339620

  Feeding, Eating & Swallowing

  NPD Authorized official
• OT 4 Kidz, Inc

  dba dba The Children's Therapy & Learning Center

  • Occupational Therapist
  • Eagle, ID
  • NPI 1225449085
  NPD (past)
• OT 4 Kidz, Inc

  dba The Children's Therapy & Learning Center

  • Developmental Disabilities Clinic/Center
  • Eagle, ID
  • NPI 1659029353
  NPD (past)

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1700280195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11536 W PRISTINEBROOK DR",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695784",
            "telephone_number": "208-654-6161",
            "fax_number": "208-473-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E 1ST ST",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "83644",
            "telephone_number": "208-654-6161",
            "fax_number": "208-473-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "TIFFANY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-547",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ID",
            "license": "OT-547",
            "primary": true
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "ID",
            "license": "OT-547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Openshaw, D.D.S.
• Kami Pahlas, LCSW
• Alexa Perrigo, BCBA
• Peterson Oximetry Services
• Peterson Oximetry Services, Inc.
• Allison Powell, OTR/L
• Precious Pathways Birth Center
• Angela W Priest
• Rachael Hall, LLC
• Relatyv Mobile Medical LLC

• Pediatric Occupational Therapist in Middleton, ID
• Providers in Middleton, ID by specialty
• Pediatric Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.