NPIMap

Organization Active NPI

Camp Hippo Pediatric Therapy LLC.

  • Multi-Specialty Clinic/Center
  • Blackfoot, ID
National Provider Identifier
1902084833
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
OT-232 Issued in ID
Legal business name
CAMP HIPPO PEDIATRIC THERAPY LLC.
Practice address
7 N 600 W
Blackfoot, ID 83221-5533
Phone
(208) 782-2267
Fax
(208) 684-9812
NPI assigned
Feb 1, 2008
Last updated
Feb 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Betty C. Jaques, OTR/LNPI 1811054265
Title
Occupational Therapist/Owner
Phone
(208) 782-2267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X OT-232 ID Primary
Medical Specialty Clinic/Center 261QM2500X OT-232 ID

Addresses

Primary practice location

7 N 600 W
Blackfoot, ID 83221-5533

Mailing address

7 N 600 W
Blackfoot, ID 83221-5533
Phone (208) 782-2267

National Provider Directory

National Provider Directory
Tax ID family
Camp Hippo Pediatric Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1902084833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N 600 W",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832215533",
            "telephone_number": "208-782-2267",
            "fax_number": "208-684-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N 600 W",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832215533",
            "telephone_number": "208-782-2267",
            "fax_number": "208-684-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP HIPPO PEDIATRIC THERAPY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "JAQUES",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "208-782-2267",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "ID",
            "license": "OT-232",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "ID",
            "license": "OT-232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackfoot, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.