Active NPI
Julia Helene Sanders, OTD, OTR/L
- Occupational Therapist
- Pocatello, ID
National Provider Identifier
1811630924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-1437
- Practice address
- 777 Hospital Way
Pocatello, ID 83201-5175 - Phone
- (208) 239-1000
- NPI assigned
- Apr 16, 2022
- Last updated
- Oct 4, 2022
- 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 Therapist | 225X00000X | OT-1437 | ID | Primary |
Addresses
Primary practice location
777 Hospital Way
Pocatello, ID 83201-5175
Mailing address
8095 N Neva Rd
Pocatello, ID 83204-7003
Phone (910) 916-3510
Other practice location 1
675 Yellowstone Ave # 1
Pocatello, ID 83201-4511
Phone (208) 478-1488
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Sport Massage LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1811630924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8095 N NEVA RD",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832047003",
"telephone_number": "910-916-3510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HOSPITAL WAY",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015175",
"telephone_number": "208-239-1000"
}
],
"practiceLocations": [
{
"address_1": "675 Yellowstone Ave # 1",
"address_purpose": "LOCATION",
"city": "Pocatello",
"state": "ID",
"postal_code": "832014511",
"country_code": "US",
"telephone_number": "208-478-1488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "JULIA",
"middle_name": "HELENE",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-16",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT-1437",
"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 Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.