Betty Christina Jaques, OTRL
Individual provider Active NPI Occupational Therapist · Blackfoot, ID
NPI 1811054265 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1811054265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT-232 (ID)
- Practice address
- 7 N 600 W
Blackfoot, ID 83221-5533 - Phone
- (208) 684-9812
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7 N 600
Blackfoot, ID 83221-5533
Phone (208) 782-2267
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080306000694 | ID | Practitioner - Occupational Therapist in Private Practice | 2264517895 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-232 | ID | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camp Hippo Pediatric Therapy LLC | Occupational Therapist | Current |
Accepting new patients |
| Cruz Therapy Services | Current | Accepting new patients | |
| Camp Hippo Pediatric Therapy LLC. | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-232 | ID | Yes |
| Pediatric Occupational Therapist | 225XP0200X | OT-232 | ID |
Addresses
Primary practice location
7 N 600 W
Blackfoot, ID 83221-5533
Mailing address
7 N 600 W
Blackfoot, ID 83221-5533
Phone (208) 684-9812
Other providers in Blackfoot, ID
- Harrison Jacob Inskeep
- Intercept Systems, PLLC
- J&M Mental Health, Inc.
- J&M Mental Health, Inc.
- J&M Mental Health, Inc.
- Hannah J Jensen
- Joshua Drew Jensen
- Mark Eugene Jergens
- Francis T Johansen
- Johnson Chiropractic PC
All providers in Blackfoot, 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 Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.