Active NPI
Denise Anderson, MS, OTR/L
- Physical Rehabilitation Occupational Therapist
- Nampa, ID
National Provider Identifier
1992119630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- OT-1241
- Practice address
- 207 W Georgia Ave
Nampa, ID 83686-3024 - Phone
- (208) 489-5700
- NPI assigned
- Jun 19, 2014
- Last updated
- Jan 28, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT-1241 | ID | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT-1241 | ID | Primary |
Addresses
Primary practice location
207 W Georgia Ave
Nampa, ID 83686-3024
Mailing address
6570 N Agrarian LN Apt 101
Meridian, ID 83646-1571
Phone (208) 570-0602
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-1241 | ID | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1992119630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6570 N AGRARIAN LN APT 101",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836461571",
"telephone_number": "208-570-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 W GEORGIA AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836863024",
"telephone_number": "208-489-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DENISE",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "ID",
"license": "OT-1241",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "ID",
"license": "OT-1241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.