Crystal Helder, COTA, CMT

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA1109 Issued in ID

Practice address

12604 N 14TH Ave
Boise, ID 83714-5060

Phone

(208) 908-1322

NPI assigned

Feb 4, 2010

Last updated

Jan 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1821320698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12604 N 14TH AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837145060",
            "telephone_number": "208-908-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12604 N 14TH AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837145060",
            "telephone_number": "208-908-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELDER",
        "first_name": "CRYSTAL",
        "credential": "COTA, CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "M-09-020",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ID",
            "license": "OTA1109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesa Heirigs
• Kristine Ann Heisey
• Marcela Wietstruck Heiss, PHARMD
• Susannah Paige Heist
• Jason Helbig, DO
• Misty Helenbolt, PHARMD
• Christopher Jonathan Helfer, MD
• Tamara S Helfer, M.D.
• Madison Blakely Helfrich, BSN RN
• Helicase LLC

• Occupational Therapy Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Occupational Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.