● Active Type 1 · Individual

MRS. Kathryn Broderius, MOT

Occupational Therapist·Middleton, ID· NPI 1154074508 · Enumerated 2022 · 4 years on NPI

Broderius is 1 of 2 occupational therapist providers in Middleton and 1 of 626 in Idaho.

NPI age

4 years

Enumerated 2022-01-26

Primary specialty

Occupational Therapist

Plus 1 subspecialty

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2022-01-26

Source: monthly bulk 2026-05

Sole proprietor

May be part of a larger org

How this provider compares

Across 626 active occupational therapist providers in Idaho.

NPI age

4 years

↓ 5 yr below median (9 yr)

State licenses

1 state

6% of peers hold multiple states

Subspecialties

In the 12% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-01Enumerated in NPPES

2022 2026

Where they practice

Practice location

316 E 1st St

Middleton, ID 836446159

📞 2086546161

Mailing address

3700 E Downs Ave

Nampa, ID 836861385

Specialties

Respiratory, Developmental, Rehabilitative and Restorative Service Providers › Occupational Therapist

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-2455 taxonomy 225X00000X
Occupational Therapist

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life...

ID license #OT-2455 taxonomy 225XP0200X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

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