Ivan M Hardcastle, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-831 Issued in ID

Practice address

276 Eastland Dr N Ste a
Twin Falls, ID 83301-4458

Phone

(208) 308-4661

Fax

(208) 736-0890

NPI assigned

May 3, 2007

Sex

Male

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

Enrolled in ID

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Castle Therapy PLLC

  • Occupational Therapist
  • Twin Falls, ID
  • NPI 1275218273
  Medicare reassignment NPD Authorized official
• Lifestyles Therapy & Wellness Center Inc.

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1013189596
  NPD

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1881816304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 EASTLAND DR N STE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014458",
            "telephone_number": "208-308-4661",
            "fax_number": "208-736-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 EASTLAND DR N STE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014458",
            "telephone_number": "208-308-4661",
            "fax_number": "208-736-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDCASTLE",
        "first_name": "IVAN",
        "middle_name": "M",
        "credential": "MOT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OTLP240",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Hansen, PHARMD
• Tyler Hansen, OTR
• Angie Lea Hanson, LPC
• Nestor Hapayan, RN
• Michelle Harcourt, FNP
• Bruce L Harding, CRNA
• Paul L Harman, LCSW
• Melinda Louise Harmer, MA CCC SLP
• Harmony PSR Services, Inc
• Stacey Renee Harr, BS

• Occupational Therapist in Twin Falls, ID
• Providers in Twin 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 May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.