ILLA STICE


Address: 3812 N Tamarack Dr, Boise, ID 83703-4556
Phone: 3072870356

ILLA STICE (NPI# 1144635129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144635129
Entity Type Individual
Full Name ILLA STICE
Practice Address 3812 N Tamarack Dr
Boise
ID 83703-4556
Practice Telephone 3072870356
Enumeration Date 2014-06-27
Last Update Date 2014-06-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant OTA-1151 ID Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 3812 N TAMARACK DR
City BOISE
State ID
Zip Code 83703-4556

Providers in the same zip code

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1386203974 Dylan Roy Chiropractor 5632 W State Street, Boise, ID 83703 2019-06-07
1124476858 Tidwell Social Work Services and Consulting, Inc. Community/Behavioral Health 5999 W. State St., Boise, ID 83703 2016-06-03
1801251244 Rebecca Lynn Cushing Massage Therapist 5909 W. State St, Boise, ID 83703 2015-12-30
1790181675 Malinda Poe Counselor 4440 W Taft St, Boise, ID 83703 2014-11-05
1689079469 Ashley Harker Massage Therapist 5909 W. State St., Boise, ID 83703 2014-10-23
1770987844 Brick House Recovery Counselor 3663 N Lakeharbor Ln, Boise, ID 83703 2014-10-17
1033512538 Ryan Warburton Physical Therapist 2999 N Lakeshore Lane, Ste 120, Boise, ID 83703 2014-09-29
1710386008 Suzanne Iannaccone Social Worker 4090 W State St Ste 221, Boise, ID 83703 2014-08-22
1588092464 Becky L. Marks Social Worker 3858 N. Garden Center Way, Suite 204, Boise, ID 83703 2013-10-31
1700219169 Pohley Richey Dietitian, Registered 6052 W State Street, Boise, ID 83703 2013-08-20
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Taxonomy Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861028151 Marissa Montamat Occupational Therapy Assistant 3550 W Americana Ter, Boise, ID 83706-4728 2020-03-18
1992236988 Katie Chase Occupational Therapy Assistant 1410 S Broadway Ave, Boise, ID 83706-3706 2017-03-22
1679924435 Chong Lucey Occupational Therapy Assistant 11892 W Clover Meadows Dr, Boise, ID 83713-6608 2016-06-23
1629492095 Karen Seal Occupational Therapy Assistant 8932 Inca Ct, Boise, ID 83709-5774 2014-02-06
1235473786 Amanda Garcia Occupational Therapy Assistant 310 S Stapleton St, Boise, ID 83705-1469 2012-11-22
1861741456 Hayley Jo Giesler Occupational Therapy Assistant 3169 South Bown Way, Boise, ID 83706 2012-08-29
1740563634 Kenneth Wayne Smith Occupational Therapy Assistant 12046 W Spring River Ct, Boise, ID 83709-5160 2011-09-27
1821320698 Crystal Helder Occupational Therapy Assistant 12604 N 14th Ave, Boise, ID 83714-5060 2010-02-04
1083815211 Sarah L. Yoder Occupational Therapy Assistant 100 W State St, Boise, ID 83702-6126 2007-05-28
1669080008 Dianne Lynn Nikakis Occupational Therapy Assistant 1410 S Broadway Ave, Boise, ID 83706-3706 2020-07-22
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City BOISE
Zip Code 83703

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Dataset Information

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.

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