Briana Nora Tyne Acker
Individual provider Active NPI Occupational Therapist · Ketchum, ID
NPI 1841756947 · NPPES record last updated Feb 13, 2019
Key facts
- NPI
- 1841756947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT-2032 (ID)
- Practice address
- 100 Hospital Drive
Ketchum, ID 83340 - Phone
- (208) 727-8100
- NPI assigned
- Feb 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alaska Hand Rehabilitation Inc
Practice addresses (Care Compare)
1400 W Benson Blvd
Suite 200
Anchorage, AK 99503-3676
Phone (907) 563-8318
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210819003694 | AK | Practitioner - Occupational Therapist in Private Practice | 6709281322 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-2032 | ID | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Hand Rehabilitation, Inc. | Occupational Therapist | Current |
Accepting new patients |
| Laurie Hartleydba Advanced Hand & Orthopedics | Past |
Accepting new patients |
Locations
1400 W Benson Blvd
Ste 200
Anchorage, AK 99503
Phone (907) 563-8318
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-2032 | ID | Yes |
Addresses
Primary practice location
100 Hospital Drive
Ketchum, ID 83340
Mailing address
PO Box 100
Ketchum, ID 83340-0100
Phone (208) 727-8800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT-2032 | Other | ID | IDAHO OCCUPATIONAL THERAPY LICENSE |
Other providers in Ketchum, ID
- A P McLaughlin III Apc
- Aaron Stern Chiropractic PLLC
- James Abbott
- Brittni Adams
- Aesthetic Eye PC
- Alexander Orthopaedics, P.a.
- Arvin Herbert Alexander
- Charlotte E Alexander
All providers in Ketchum, 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 Feb 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.