Active NPI
Julie Dinwiddie, OTR/L
- Physical Rehabilitation Occupational Therapist
- Boise, ID
National Provider Identifier
1891025201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- OT-1204
- Practice address
- 325 W Ridgeline Dr
Boise, ID 83702-6504 - Phone
- (208) 340-3505
- NPI assigned
- Jan 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | OT-1204 | ID | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT-1204 | ID | Primary |
| Environmental Modification Occupational Therapist | 225XE0001X | OT-1204 | ID |
Addresses
Primary practice location
325 W Ridgeline Dr
Boise, ID 83702-6504
Mailing address
325 W Ridgeline Dr
Boise, ID 83702-6504
Phone (208) 340-3505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-1204 | ID | MD | Environmental Modification Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1891025201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 W RIDGELINE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837026504",
"telephone_number": "208-340-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W RIDGELINE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837026504",
"telephone_number": "208-340-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINWIDDIE",
"first_name": "JULIE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-07",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "ID",
"license": "OT-1204",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "ID",
"license": "OT-1204",
"primary": true
},
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "ID",
"license": "OT-1204",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.