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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578126041 | Brooke Blanchard | Behavior Technician | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2019-04-19 |
Street Address |
1957 ALVIN RICKEN DR |
City | POCATELLO |
State | ID |
Zip Code | 83201-2727 |
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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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 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 |
---|---|---|---|---|
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 |
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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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.