Patricia Ann Provine, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-712 Issued in ID

Practice address

600 N Cecil Rd
Post Falls, ID 83854-6200

Phone

(208) 262-2800

NPI assigned

Jul 3, 2007

Sex

Male

Sole proprietor

No

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1831397637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N B ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142319",
            "telephone_number": "509-714-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N CECIL RD",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546200",
            "telephone_number": "208-262-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVINE",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60224627",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Post Falls Vision Clinic PLLC
• Nicole Prater, DC
• Trevor Prater, DC
• Megan Price, PTA
• Providence Human Services of Wa
• Psychiatric Resilience LLC
• Michael Gregory Pugsley-Christensen, M.D.
• Lauren Alexandria Purcell
• Tracy Marie Purdy, MS CCC-SLP
• Quality Medical Imaging of Idaho Inc

• Occupational Therapist in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.