MR. WILLIAM DAVID PENTECOST (NPI# 1033542196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033542196 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM DAVID PENTECOST |
| Credential | COTA |
| Practice Address |
331 E Park St Weiser ID 83672-2053 |
| Mailing Address |
1486 W Colville Ct Eagle ID 83616-4869 |
| Practice Telephone | 2085490206 |
| Practice Fax Number | 2085490536 |
| Mailing Telephone | 2089543691 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA-168 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255592143 | William D Pentecost | Optometrist | 1317 E Pine St, Seattle, WA 98122-4021 | 2008-06-23 |
| Street Address |
331 E PARK ST |
| City | WEISER |
| State | ID |
| Zip Code | 83672-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558384420 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 331 E Park St, Weiser, ID 83672-2053 | 2006-07-25 |
| 1699255133 | Caren Shinayo Imada | Occupational Therapist | 331 E Park St, Weiser, ID 83672-2053 | 2018-08-15 |
| 1770062499 | Angela M Asp | Speech-Language Pathologist | 331 E Park St, Weiser, ID 83672-2053 | 2018-08-13 |
| 1821509134 | Weiser of Cascadia, LLC | Skilled Nursing Facility | 331 E Park St, Weiser, ID 83672-2053 | 2017-10-13 |
| 1134522543 | Judy Ann Carroll | Speech-Language Pathologist | 331 E Park St, Weiser, ID 83672-2053 | 2014-09-30 |
| 1609209782 | Nerissa Marie Scott | Physical Therapy Assistant | 331 E Park St, Weiser, ID 83672-2053 | 2013-08-13 |
| 1235562307 | Kelly Anne Wagner | Speech-Language Pathologist | 331 E Park St, Weiser, ID 83672-2053 | 2013-08-13 |
| 1093147308 | Michael Lafferty | Physical Therapy Assistant | 331 E Park St, Weiser, ID 83672-2053 | 2013-08-08 |
| 1922260850 | Carmal Suzanne Chrisman | Occupational Therapist | 331 E Park St, Weiser, ID 83672-2053 | 2008-07-01 |
| 1407018518 | Karen Rene Lockwood | Occupational Therapy Assistant | 331 E Park St, Weiser, ID 83672-2053 | 2008-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891176798 | Christine Cooper | Nurse Practitioner | 35 W Idaho St, Weiser, ID 83672 | 2015-06-16 |
| 1356630941 | Jordan V Blanchard | Family Medicine | 360 E. Liberty, Weiser, ID 83672 | 2011-04-04 |
| 1427038231 | Christopher Earl Malloy | Dentist | 1067 Hwy 95, Weiser, ID 83672 | 2006-01-18 |
| 1457508418 | Christy Earlean Marvin | Home Health Aide | 1111 E Main St, Weiser, ID 83672 | 2008-08-21 |
| 1255364030 | Weiser Valley Hospital District | Orthopaedic Surgery | 645 E. 5th St., Weiser, ID 83672 | 2006-07-07 |
| 1568685543 | Weiser School District #431 | Specialist | 925 Pioneer Rd, Weiser, ID 83672-1146 | 2007-04-10 |
| 1275147712 | Madison Caldwell | Counselor | 925 Pioneer Rd, Weiser, ID 83672-1146 | 2020-09-02 |
| 1588108872 | Laura Haun | Specialist/Technologist | 275 Mcginnis Dr, Weiser, ID 83672-1262 | 2016-12-06 |
| 1073537486 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 1545 E 6th St, Weiser, ID 83672-1495 | 2006-07-27 |
| 1164047635 | Bridget Moore | Pharmacy Technician | 1545 E 6th St, Weiser, ID 83672-1495 | 2020-06-10 |
| Find all providers in zip 83672 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407018518 | Karen Rene Lockwood | Occupational Therapy Assistant | 331 E Park St, Weiser, ID 83672-2053 | 2008-06-30 |
| 1457511081 | Audrey Mae Lande | Occupational Therapy Assistant | 331 E Park St, Weiser, ID 83672-2053 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784648 | Alyssa Mabey | Occupational Therapy Assistant | 659 Fairway Dr, Pocatello, ID 83201-2049 | 2020-09-15 |
| 1861028151 | Marissa Montamat | Occupational Therapy Assistant | 3550 W Americana Ter, Boise, ID 83706-4728 | 2020-03-18 |
| 1952802860 | Iris Marie Conrad | Occupational Therapy Assistant | 35 Dogwood Ln, Salmon, ID 83467-5083 | 2018-02-26 |
| 1992236988 | Katie Chase | Occupational Therapy Assistant | 1410 S Broadway Ave, Boise, ID 83706-3706 | 2017-03-22 |
| 1831634823 | Skye Fahnlander | Occupational Therapy Assistant | 2303 Parke Ave, Burley, ID 83318 | 2016-12-29 |
| 1245788959 | Susan Pahlas | Occupational Therapy Assistant | 489 Sw 7th Ave, Meridian, ID 83642-2809 | 2016-09-12 |
| 1679924435 | Chong Lucey | Occupational Therapy Assistant | 11892 W Clover Meadows Dr, Boise, ID 83713-6608 | 2016-06-23 |
| 1851761209 | Marissa Redding | Occupational Therapy Assistant | 8051b Eichenlaub Ct, Mountain Home Afb, ID 83648-1094 | 2015-09-29 |
| 1982085262 | Peaks To Plains Therapy Services, Pa | Occupational Therapy Assistant | 165 Front St, Driggs, ID 83422-5445 | 2015-06-12 |
| 1679964977 | Idris Jamal Shelby | Occupational Therapy Assistant | 2681 Sagebrush Dr, Twin Falls, ID 83301-7559 | 2015-02-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.