KOKUA REHABILITATION (NPI# 1083262042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083262042 |
| Entity Type | Organization |
| Organization Name | KOKUA REHABILITATION |
| Other Organization Name | HAND & UPPER EXTREMITY CENTER |
| Practice Address |
444 Hospital Way Ste 720 Pocatello ID 83201-2717 |
| Practice Telephone | 2084780258 |
| Mailing Telephone | 2084780258 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-06 |
| Authorized Official Name | TIA BURNS (OWNER) |
| Authorized Official Telephone | 2086801838 |
| Authorized Official Credential | MOTR/L, CHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Hand & Upper Extremity Center | Doing Business As Name - Organization |
| Street Address |
444 HOSPITAL WAY STE 720 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275788309 | Anne Marie Crosser | Occupational Therapist | 444 Hospital Way Ste 720, Pocatello, ID 83201 | 2008-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023074739 | Cheryl E Rodnick | Occupational Therapist | 1950 E Clark St, Stf, Pocatello, ID 83201-3314 | 2006-04-21 |
| 1003279357 | Kylee Michelle Permann | Occupational Therapist | 560 Memorial Dr Ste B, Pocatello, ID 83201-4073 | 2016-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851653901 | Advanced Hand Therapy PC | Occupational Therapist | 840 Addison Ave, Twin Falls, ID 83301-5203 | 2012-06-14 |
| 1316006182 | North Idaho Hand Rehabilitation, Pllc | Occupational Therapist | 943 W Ironwood Dr Ste 100, Coeur D Alene, ID 83814-4904 | 2006-12-08 |
| 1306851969 | Robert Swider | Occupational Therapist | 920 W Ironwood Dr Ste 207, Coeur D Alene, ID 83814-2643 | 2006-07-30 |
| 1992763536 | Stacy L Hannemann | Occupational Therapist | 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814-2635 | 2006-05-03 |
| 1316548555 | Sue Kunkel | Occupational Therapist | 564 S Woodruff Ave, Idaho Falls, ID 83401-5298 | 2020-11-04 |
| 1821606419 | Savannah Diaz | Occupational Therapist | 901 N Curtis Rd Ste 204, Boise, ID 83706-1340 | 2020-07-20 |
| 1699087346 | Idaho Hand & Upper Extremity Therapy | Occupational Therapist | 920 W Ironwood Dr Ste 207, Coeur D Alene, ID 83814-2643 | 2010-07-10 |
| 1780881516 | Kristen Leigh Pedersen | Occupational Therapist | 920 W Ironwood Dr, Suite 207, Coeur D Alene, ID 83814-2463 | 2007-06-27 |
| 1770642456 | Debra Jill Walker Satren | Occupational Therapist | 8836 N Hess St, Suite F, Hayden, ID 83835-8718 | 2006-12-08 |
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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.