Active NPI
Missy Renee Sturk, M.S., OTR/L
- Pediatric Occupational Therapist
- Driggs, ID
National Provider Identifier
1811211527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT-965
- Practice address
- 30 N 1St St
Driggs, ID 83422-5219 - Phone
- (208) 435-8846
- NPI assigned
- Mar 24, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT-965 | ID | Primary |
Addresses
Primary practice location
30 N 1St St
Driggs, ID 83422-5219
Mailing address
7898 House Top LN
Victor, ID 83455-4958
Phone (208) 520-5672
Other names 1
- Melissa Renee Sturk
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-965 | ID | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teton River Pediatrics | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Driggs, ID
- NPI 1891646055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1811211527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7898 HOUSE TOP LN",
"city": "VICTOR",
"state": "ID",
"postal_code": "834554958",
"telephone_number": "208-520-5672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N 1ST ST",
"city": "DRIGGS",
"state": "ID",
"postal_code": "834225219",
"telephone_number": "208-435-8846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURK",
"first_name": "MISSY",
"middle_name": "RENEE",
"credential": "M.S., OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-24",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "ID",
"license": "OT-965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "STURK",
"middle_name": "RENEE",
"credential": "MS, OTR/L",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Driggs, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.