Individual provider Active NPI

Tia Burns, MOTR/L, CHT

  • Occupational Therapist
  • Pocatello, ID
National Provider Identifier
1780919134
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-939 Issued in ID
Practice address
444 Hospital Way Ste 720
Pocatello, ID 83201-2717
Phone
(208) 680-1838
NPI assigned
Oct 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-939 ID Primary

Addresses

Primary practice location

444 Hospital Way Ste 720
Pocatello, ID 83201-2717

Mailing address

444 Hospital Way Ste 720
Pocatello, ID 83201-2717
Phone (208) 478-0258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420002143 ID Practitioner - Occupational Therapist in Private Practice 7810295037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kokua RehabilitationGroup PAC ID 0648606129, 4 clinicians

Practice addresses (Care Compare)

444 Hospital Way
Suite 720
Pocatello, ID 83201-2717
Phone (208) 478-0258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-939IDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kokua Rehabilitation Occupational Therapist CurrentSince Jan 23, 2015 Accepting new patients

Locations

74 W Judicial St
Blackfoot, ID 83221
Phone (208) 478-0258

444 Hospital Way
Ste 720
Pocatello, ID 83201
Phone (208) 478-0258

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1780919134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 HOSPITAL WAY STE 720",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012717",
            "telephone_number": "208-478-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 HOSPITAL WAY STE 720",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012717",
            "telephone_number": "208-680-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "TIA",
        "credential": "MOTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-02",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.