MR. MARK RICHARD SHALTRY (NPI# 1568437697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568437697 |
| Entity Type | Individual |
| Full Name | MR. MARK RICHARD SHALTRY |
| Credential | OTR CHT |
| Practice Address |
554 N Steelhead Way Ste 162 Boise ID 83704 |
| Mailing Address |
170 E Stonewater Ct Eagle ID 83706 |
| Practice Telephone | 2083239747 |
| Practice Fax Number | 2083239752 |
| Mailing Telephone | 2083239747 |
| Mailing Fax Number | 2083239752 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 225X00000X | Occupational Therapist | OT042 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT042 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
554 N STEELHEAD WAY STE 162 |
| City | BOISE |
| State | ID |
| Zip Code | 83704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1447857578 | Daniel Zerwas | Occupational Therapist | 6572 E Signal Rock Dr, Boise, ID 83716-7082 | 2020-10-01 |
| 1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
| 1730649641 | Jordan Pollock | Occupational Therapist | 7960 W Rifleman St Ste 130, Boise, ID 83704-9014 | 2019-03-25 |
| 1285133017 | Ada Therapy Services Pllc | Occupational Therapist | 4696 W Overland Rd Ste 232, Boise, ID 83705-2864 | 2018-02-07 |
| 1275983769 | Sussette Hiers Newsom | Occupational Therapist | 2173 S Gekeler Ln, Boise, ID 83706-4337 | 2016-06-15 |
| 1043689474 | Macaile Hutt | Occupational Therapist | 1172 W Franklin Rd, Boise, ID 83709 | 2015-09-16 |
| 1811392194 | Melinda Brown | Occupational Therapist | 10844 W Oswego Dr, Boise, ID 83709-4557 | 2014-10-28 |
| 1770984080 | Karen Hammond | Occupational Therapist | 428 W Pueblo St, Boise, ID 83702-4429 | 2014-09-07 |
| 1427465640 | Heidi Isaacs | Occupational Therapist | 222 W Parliament Ct, Boise, ID 83706-4300 | 2014-07-21 |
| Find all providers in BOISE | ||||
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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.