Organization Active NPI

Lindley Kessler Pediatric Occupational Therapy Source

  • Pediatric Occupational Therapist
  • Boise, ID
National Provider Identifier
1700336039
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
LINDLEY KESSLER PEDIATRIC OCCUPATIONAL THERAPY SOURCE
Practice address
2811 W Heather PL
Boise, ID 83702-1428
Phone
(208) 631-7366
NPI assigned
Oct 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Farrell Lindley-KesslerNPI 1518036839
Title
Occupational Therapist
Phone
(208) 631-7366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X ID Primary

Addresses

Primary practice location

2811 W Heather PL
Boise, ID 83702-1428

Mailing address

2811 W Heather PL
Boise, ID 83702-1428

National Provider Directory

National Provider Directory
Tax ID family
Lindley Kessler Pediatric Occupational Therapy Source2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1700336039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 W HEATHER PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837021428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 W HEATHER PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837021428",
            "telephone_number": "208-631-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDLEY KESSLER PEDIATRIC OCCUPATIONAL THERAPY SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "LINDLEY-KESSLER",
        "authorized_official_first_name": "FARRELL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "208-631-7366"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ID",
            "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 Oct 11, 2016; 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.