Active NPI
Erin Maurine Tyrrell
- Occupational Therapist
- Pocatello, ID
National Provider Identifier
1942735006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-1638
- Practice address
- 146 Stanford Ave
Pocatello, ID 83201-3475 - Phone
- (208) 406-7091
- NPI assigned
- Apr 26, 2017
- Last updated
- Apr 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-1638 | ID | Primary |
Addresses
Primary practice location
146 Stanford Ave
Pocatello, ID 83201-3475
Mailing address
146 Stanford Ave
Pocatello, ID 83201-3475
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-1638 | ID | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Center for Pediatric Therapy, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Pocatello, ID
- NPI 1215397666
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1942735006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 STANFORD AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832013475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 STANFORD AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832013475",
"telephone_number": "208-406-7091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYRRELL",
"first_name": "ERIN",
"middle_name": "MAURINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-26",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT-1638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pocatello, ID
- Turning Point Counseling & Partial Care Center, Inc
- Turning Point Counseling and Partial Care Center Inc
- Jason Turpin
- Tyler Kent Marlowe DDS PLLC (Portneuf Valley Dental)
- Daniel Tyler, ACA
- Unbound Counseling Services, Inc. (Unbound Counseling Services)
- University of Utah Adult Services (PORTNEUF REGIONAL MEDICAL CENTER-Nephrology)
- University of Utah Pediatric Services (Portneuf Medical Center - Pediatric Cardiology)
- University of Utah Pediatric Services (Pediatric EP Cardiology - Pocatello)
- Unlimited Potential Performance Therapy PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.