BROOKE LEIGH BLANCHARD


Address: 1957 Alvin Ricken Dr, Pocatello, ID 83201-2727
Phone: 2082357800

BROOKE LEIGH BLANCHARD (NPI# 1710460423) 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) 1710460423
Entity Type Individual
Full Name BROOKE LEIGH BLANCHARD
Credential COTA
Practice Address 1957 Alvin Ricken Dr
Pocatello
ID 83201-2727
Mailing Address 25117 Sw Parkway Ave Ste D
Wilsonville
OR 97070-9697
Practice Telephone 2082357800
Enumeration Date 2018-09-09
Last Update Date 2018-09-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant OTA-1965 ID Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers BROOKE BLANCHARD

NPI Name Taxonomy Address Enumeration
1578126041 Brooke Blanchard Behavior Technician 2521 N Elms Rd, Flushing, MI 48433-9423 2019-04-19

Office Location

Street Address 1957 ALVIN RICKEN DR
City POCATELLO
State ID
Zip Code 83201-2727

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285624064 Division of Veterans Services Skilled Nursing Facility 1957 Alvin Ricken Dr, Pocatello, ID 83201-2727 2005-10-24
1457964876 Emilio Kenneth Guerrero Physical Therapy Assistant 1957 Alvin Ricken Dr, Pocatello, ID 83201-2727 2020-08-25
1811553050 Luc Day Leech Occupational Therapist 1957 Alvin Ricken Dr, Pocatello, ID 83201-2727 2019-05-14
1851859516 David Cox Physical Therapist 1957 Alvin Ricken Dr, Pocatello, ID 83201-2727 2019-03-12
1346704384 Aliitasi Lynn Kelemete Physical Therapist 1957 Alvin Ricken Dr, Pocatello, ID 83201-2727 2019-01-23
1003382276 Joel Cruz Physical Therapy Assistant 1957 Alvin Ricken Dr, Pocatello, ID 83201-2727 2018-10-16
1629555669 Carley Alison Warren Speech-Language Pathologist 1957 Alvin Ricken Dr, Pocatello, ID 83201-2727 2018-07-23
1003322512 Caleb Smith Physical Therapy Assistant 1957 Alvin Ricken Dr, Pocatello, ID 83201-2727 2017-12-19
1326580663 Leeann Kristin Shaw Physical Therapy Assistant 1957 Alvin Ricken Dr, Pocatello, ID 83201-2727 2016-11-16
1235584582 Saunja Carlson Speech-Language Pathologist 1957 Alvin Ricken Dr, Pocatello, ID 83201-2727 2016-04-24
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Providers in the same zip code

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
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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
1639784648 Alyssa Mabey Occupational Therapy Assistant 659 Fairway Dr, Pocatello, ID 83201-2049 2020-09-15
1447732359 Ashley Lynne Jones Occupational Therapy Assistant 7677 W Portneuf Rd, Pocatello, ID 83204 2018-09-06
1952819237 Stacey Lewis Occupational Therapy Assistant 1009 W Quinn Rd, Pocatello, ID 83202-2425 2018-01-19
1659817013 Jacquie Kathleen Jenkins Occupational Therapy Assistant 527 Memorial Drive, Pocatello, ID 83201 2017-01-10
1255876132 Barry Johnston Occupational Therapy Assistant 527 Memorial Dr, Pocatello, ID 83201-4063 2016-12-30
1386189306 Robin Rutherford Occupational Therapy Assistant 527 Memorial Dr, Pocatello, ID 83201-4063 2016-12-29
1881748507 Teresa L Goodwin Occupational Therapy Assistant 1957 Alvin Ricken Dr, Pocatello, ID 83201-2727 2007-01-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
1093113995 Patrick Dale Ruch Occupational Therapy Assistant 166 Wildflower Ln, Eagle, ID 83616-5947 2014-12-09
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Competitor

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City POCATELLO
Zip Code 83201

Improve Information

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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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