Abigail Bayly, MOTR
Individual provider Active NPI Occupational Therapist · Moscow, ID
NPI 1831679455 · NPPES record last updated Aug 14, 2018
Key facts
- NPI
- 1831679455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT-873 (ID)
- Practice address
- 420 Rowe St
Moscow, ID 83843-9319 - Phone
- (208) 882-4576
- NPI assigned
- Aug 14, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-873 | ID | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-873 | ID | Yes |
Addresses
Primary practice location
420 Rowe St
Moscow, ID 83843-9319
Mailing address
336 Dolly Dr
Moscow, ID 83843-9773
Phone (208) 241-0047
Other providers in Moscow, ID
- Rebecca K Barnes
- Isis Barragan Gomez
- Brenda Laine Bartholow
- Gregory Bauer
- Meggan L Baumgartner
- Daniel James Bayly
- Bearable Dentistry
- Heather Beasley
- Hydee Flishaw Tubbs Becker
- Behavioral Health Solutions P a
All providers in Moscow, ID · Occupational Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.