Dayna K. Willbanks, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT406 Issued in ID

Practice address

106 E 3Rd St
Moscow, ID 83843-2970

Phone

(509) 432-1575

Fax

(509) 332-8045

NPI assigned

Jan 12, 2007

Last updated

Aug 31, 2010By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• BK Inc.

  dba Moscow Mountain Sport and Physical Therapy

  • Physical Therapy Clinic/Center
  • Moscow, ID
  • NPI 1659429405
  NPD (past)
• Synergy Healthcare Inc.

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1780741439
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1841340486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 NW ROBERT ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991633640",
            "telephone_number": "509-432-1575",
            "fax_number": "509-332-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E 3RD ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432970",
            "telephone_number": "509-432-1575",
            "fax_number": "509-332-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLBANKS",
        "first_name": "DAYNA",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordahn Saige White
• Alan J. Whitlock, PH.D.
• Lorna Wigen, LMSW
• Wild Rose Physio PLLC
• Sara Elizabeth Wildman, RDN, RD
• Madison Willhide
• Jacqueline M Williams, MS, LAT, ATC
• Wilson Polito PLLC (Alpine Vision Center)
• Annetta Wilson, P.T.
• Kylie Elizabeth Wilson

• Occupational Therapist in Moscow, ID
• Providers in Moscow, 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 31, 2010; 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.