Active NPI
Tammy Jean Colver, OT/L
- Occupational Therapist
- Twin Falls, ID
National Provider Identifier
1992967764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-215
- Practice address
- 630 Addison Ave W
Twin Falls, ID 83301-5491 - Phone
- (208) 737-2975
- NPI assigned
- Jul 1, 2008
- 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-215 | ID | Primary |
Addresses
Primary practice location
630 Addison Ave W
Twin Falls, ID 83301-5491
Mailing address
2343 Garey LN
Filer, ID 83328-5543
Phone (208) 941-1475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT-215 | Other | ID | IDAHO STATE BOARD OF MEDICINE -OT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-215 | ID | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1992967764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2343 GAREY LN",
"city": "FILER",
"state": "ID",
"postal_code": "833285543",
"telephone_number": "208-941-1475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 ADDISON AVE W",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015491",
"telephone_number": "208-737-2975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVER",
"first_name": "TAMMY",
"middle_name": "JEAN",
"credential": "OT/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-01",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT-215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO STATE BOARD OF MEDICINE -OT",
"identifier": "OT-215",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.