Active NPI
Adrian Todd, OTR/L
- Occupational Therapist
- Meridian, ID
National Provider Identifier
1720720113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-2250
- Practice address
- 520 S Eagle Rd
Meridian, ID 83642-6351 - Phone
- (208) 706-5000
- NPI assigned
- Apr 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-2250 | ID | Primary |
Addresses
Primary practice location
520 S Eagle Rd
Meridian, ID 83642-6351
Mailing address
2338 S Barcliff Ave
Springfield, MO 65804-3504
Phone (417) 619-9261
Other practice location 1
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222
Other practice location 2
1700 Skylyn Dr
Spartanburg, SC 29307-1041
Phone (864) 573-3081
Other practice location 3
9850 W St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 505-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-2250 | ID | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1720720113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2338 S BARCLIFF AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658043504",
"telephone_number": "417-619-9261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S EAGLE RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426351",
"telephone_number": "208-706-5000"
}
],
"practiceLocations": [
{
"address_1": "190 E Bannock St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837126241",
"country_code": "US",
"telephone_number": "208-381-2222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 Skylyn Dr",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293071041",
"country_code": "US",
"telephone_number": "864-573-3081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9850 W St Lukes Dr",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836877912",
"country_code": "US",
"telephone_number": "208-505-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TODD",
"first_name": "ADRIAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-07",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT-2250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.