Caitlin M Lyon, MOT, OTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Driggs, ID

NPI 1982189569 · NPPES record last updated Jun 19, 2026

Key facts

NPI
1982189569
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
OT-1526 (ID)
Practice address
1420 N Highway 33 Ste 205
Driggs, ID 83422-5316
Phone
(208) 240-2820
Fax
(208) 656-5647
NPI assigned
Sep 28, 2018
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT-1526IDMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids in Bloom Occupational Therapy, PLLC Pediatrics Current
since Nov 12, 2023
Accepting new patients

Locations

1420 N Highway 33
Ste 106
Driggs, ID 83422
Phone (208) 240-2820

1420 N Highway 33
Ste 205
Driggs, ID 83422

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT-1526 ID Yes

Addresses

Primary practice location

1420 N Highway 33 Ste 205
Driggs, ID 83422-5316

Mailing address

3808 Wood Rd
Victor, ID 83455-5352
Phone (208) 240-2820

Other identifiers

IdentifierTypeStateIssuer
IDTPID012938MedicaidID

Other names

  • Caitlin Woodward Former name

Other providers in Driggs, ID

All providers in Driggs, ID · Pediatric Occupational Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.