Phillips Therapy Incorporated

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-528 Issued in ID

Legal business name

PHILLIPS THERAPY INCORPORATED

Practice address

73 North Main St.,
Suite 3
Victor, ID 83455

Phone

(208) 705-7868

Fax

(208) 787-0946

NPI assigned

Dec 30, 2009

Organization subpart

No

Name

Heather Ann Hora, MSOTR/L

Title

Occupational Therapist/President

Phone

(208) 705-7868

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 3, 2010.

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1891025656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 PINE MOUNTAIN VIEW DRIVE",
            "address_2": "PO BOX 761",
            "city": "VICTOR",
            "state": "ID",
            "postal_code": "83455",
            "telephone_number": "208-705-7868",
            "fax_number": "208-787-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 NORTH MAIN ST.,",
            "address_2": "SUITE 3",
            "city": "VICTOR",
            "state": "ID",
            "postal_code": "83455",
            "telephone_number": "208-705-7868",
            "fax_number": "208-787-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS THERAPY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "HORA",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "208-705-7868",
        "authorized_official_credential": "MSOTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.