P Praxis·MD
● Active Type 2 · Organization

Lullaby Waters Pllc

Occupational Therapist·Boise, ID· NPI 1114342755 · Enumerated 2014 · 12 years on NPI
Lullaby Waters Pllc is 1 of 626 occupational therapist organizations in Idaho.
NPI age
12 years
Enumerated 2014-02-19
Primary specialty
Occupational Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nickell
Owner
Last NPPES update
2021-07-13
Source: monthly bulk 2026-05

How this organization compares

Across 626 active occupational therapist providers in Idaho.

NPI age
12 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-02Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
1410 S Broadway Ave
Boise, ID 837063706
📞 2089493481
Mailing address
179 E Old Saybrook Dr
Boise, ID 837064918

Authorized official

Nicole Nickell
Owner
📞 2089493481

Individual providers at this organization

9 individual providers on file at this primary practice address.

Specialties

  • Occupational Therapist Primary
    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...
    ID license #OT-1014 taxonomy 225X00000X

Practice context

Multi-provider organization. 9 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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