P Praxis·MD
● Active Type 1 · Individual

Patrick Dale Ruch, COTA/L

Occupational Therapy Assistant·Eagle, ID· NPI 1093113995 · Enumerated 2014 · 11 years on NPI
Ruch is 1 of 18 occupational therapy assistant providers in Eagle and 1 of 160 in Idaho.
NPI age
11 years
Enumerated 2014-12-09
Primary specialty
Occupational Therapy Assistant
Plus 2 subspecialties
Licensed in
ID, OR, NV
3 states
Status
Active
No deactivations on record
Last NPPES update
2014-12-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 160 active occupational therapy assistant providers in Idaho.

NPI age
11 years
↑ 1 yr above median (9 yr)
State licenses
3 states
Top 98% — 1% of peers are multi-state
Subspecialties
0
3% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-12Enumerated in NPPES
2014 2026

Where they practice

Practice location
166 Wildflower Ln
Eagle, ID 836165947
📞 2087947286
Mailing address
166 Wildflower Ln
Eagle, ID 836165947
📞 2087947286

Specialties

  • Occupational Therapy Assistant Primary
    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...
    ID license #OTA-1139OR license #295012NV license #14-1230 taxonomy 224Z00000X

Identifiers

TypeValueNotes
01 (ID) OTA-1139 STATE OF IDAHO, BUREAU OF OCCUPATIONAL LICENSES
01 (OR) 295012 STATE OF OREGON, OCCUPATIONAL THERAPY LICENSING BOARD
01 (NV) 14-1230 STATE OF NEVADA, BOARD OF OCCUPATIONAL THERAPY
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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