NICHOLAS BACCIOCCO (NPI# 1104235720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104235720 |
| Entity Type | Individual |
| Full Name | NICHOLAS BACCIOCCO |
| Practice Address |
1850 Bitterroot Dr Twin Falls ID 83301-3513 |
| Practice Telephone | 8016745752 |
| Mailing Telephone | 8016745752 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA-1351 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1850 BITTERROOT DR |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134776586 | Holly Anderson | Dietitian, Registered | 1850 Bitterroot Dr, Twin Falls, ID 83301-3513 | 2019-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| 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 |
|---|---|---|---|---|
| 1679964977 | Idris Jamal Shelby | Occupational Therapy Assistant | 2681 Sagebrush Dr, Twin Falls, ID 83301-7559 | 2015-02-09 |
| 1497183396 | Douglas Anderson | Occupational Therapy Assistant | 234 Carney St, Twin Falls, ID 83301-5010 | 2013-10-31 |
| 1285892919 | Julie D. Allen | Occupational Therapy Assistant | 2331 Longbow Dr, Twin Falls, ID 83301-4443 | 2008-05-29 |
| 1912496506 | Tamra Dimond | Occupational Therapy Assistant | 840 Addison Ave, Twin Falls, ID 83301-5203 | 2018-05-09 |
| 1124441126 | Esther Larson | Occupational Therapy Assistant | 640 Filer Ave W, Twin Falls, ID 83301-4533 | 2014-01-27 |
| 1467797340 | Denise Michells Flemming I | Occupational Therapy Assistant | 674 Eastland Dr, Twin Falls, ID 83301-6846 | 2012-12-04 |
| 1043555014 | Sarah Bollig | Occupational Therapy Assistant | 674 Eastland Dr, Twin Falls, ID 83301-6846 | 2012-12-03 |
| 1992049290 | Laura Ann Andrews | Occupational Therapy Assistant | 640 Filer Ave W, Twin Falls, ID 83301-4533 | 2012-11-27 |
| 1417167107 | Celia B Schnidt | Occupational Therapy Assistant | 1828 Bridgeview Blvd, Twin Falls, ID 83301-3051 | 2007-05-23 |
| 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 |
| 1093113995 | Patrick Dale Ruch | Occupational Therapy Assistant | 166 Wildflower Ln, Eagle, ID 83616-5947 | 2014-12-09 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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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.