Active NPI
Tanya Perkins, COTA/L
- Occupational Therapy Assistant
- Meridian, ID
National Provider Identifier
1811231475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA-1122
- Practice address
- 1351 W Pine Ave
Meridian, ID 83642-5031 - Phone
- (208) 895-6431
- NPI assigned
- Nov 20, 2012
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA-1122 | ID | Primary |
Addresses
Primary practice location
1351 W Pine Ave
Meridian, ID 83642-5031
Mailing address
1351 W Pine Ave
Meridian, ID 83642-5031
Phone (208) 895-6431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTA-1122 | Other | ID | STATE OF IDAHO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA-1122 | ID | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1811231475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 W PINE AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425031",
"telephone_number": "208-895-6431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 W PINE AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425031",
"telephone_number": "208-895-6431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "TANYA",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-20",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "ID",
"license": "OTA-1122",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF IDAHO",
"identifier": "OTA-1122",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.