Mindy Newby, OTR, ATC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

418 Floyde St
McCall, ID 83638-4508

Phone

(208) 634-2112

NPI assigned

Aug 18, 2023

Last updated

Aug 18, 2023By 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

Enrolled in AK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Therapeutic Health and Home LLC

  • Physical Therapist
  • Eagle River, AK
  • NPI 1205421047
  Medicare reassignment NPD

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1720861081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 THOMAS AVE",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834675250",
            "telephone_number": "208-215-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 FLOYDE ST",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836384508",
            "telephone_number": "208-634-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBY",
        "first_name": "MINDY",
        "credential": "OTR, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas L Moore, LCPC
• Irwin Mulnick, D.C., C.C.S.P.
• Linda Joy Uma Mulnick, D.C., D.A.B.C.I.
• My Hearing Centers, LLC
• Tamara Nagoda, M.S.
• Shane Lee Newton, DMD
• Norco, Inc
• Tiffany Jean Oakland, RPH
• Annika Marie Olson
• Savannah Jean Ormsby

• Occupational Therapist in McCall, ID
• Providers in McCall, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.