Micah Buck, OTR/L
Individual provider Active NPI Occupational Therapist · Twin Falls, ID
NPI 1730556366 · NPPES record last updated Jan 23, 2026
Key facts
- NPI
- 1730556366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT-958 (ID)
- Practice address
- 803 Harrison St
Twin Falls, ID 83301-3925 - Phone
- (208) 732-1503
- NPI assigned
- Aug 31, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-958 | ID | MD | Occupational Therapist |
| OT958 | ID | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients |
Locations
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT958 | ID | |
| Occupational Therapist | 225X00000X | OT-958 | ID | Yes |
Addresses
Primary practice location
803 Harrison St
Twin Falls, ID 83301-3925
Mailing address
892 Canyon Rim Rd
Twin Falls, ID 83301-0025
Phone (208) 283-6084
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbuck740011@direct.med.utah.edu | Direct | University of Utah |
Other providers in Twin Falls, ID
- Bruce C McComas, M. D., P. a.
- Bruce Harding Crna PA
- April Bruns
- Elizabeth Ann Bryers
- Terry J Buccambuso
- Preston Buckley
- Alysia Budd
- Kristina Bunn
- Daniel Burcham
- Jaxson Jeffrey Burgemeister
All providers in Twin Falls, ID · Occupational Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.