Active NPI
Far North Pediatrics
- Pediatric Occupational Therapist
- Sandpoint, ID
National Provider Identifier
1902773799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- FAR NORTH PEDIATRICS
- Practice address
- 2290 N Center Valley Rd
Sandpoint, ID 83864-8684 - Phone
- (505) 269-2325
- Fax
- (208) 441-2641
- NPI assigned
- Oct 17, 2025
- Last updated
- Oct 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pennie L Mathias, MS, OTR/L
- Title
- Occupational Therapist
- Phone
- (505) 269-2325
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | NU | Primary |
Addresses
Primary practice location
2290 N Center Valley Rd
Sandpoint, ID 83864-8684
Mailing address
2290 N Center Valley Rd
Sandpoint, ID 83864-8684
Phone (505) 269-2325
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1760659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760659200000",
"number": "1902773799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2290 N CENTER VALLEY RD",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838648684",
"telephone_number": "505-269-2325",
"fax_number": "208-441-2641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2290 N CENTER VALLEY RD",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838648684",
"telephone_number": "505-269-2325",
"fax_number": "208-441-2641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAR NORTH PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-17",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A",
"authorized_official_last_name": "MATHIAS",
"authorized_official_first_name": "PENNIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "505-269-2325",
"authorized_official_credential": "MS, OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.