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Occupational Therapist
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NPI 1164654398
● Active Type 2 · Organization
Hand And Upper Extremity Center, Inc
Occupational Therapist · Pocatello, ID · NPI 1164654398
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Enumerated 2009 · 16 years on NPI
Hand And Upper Extremity Center, Inc is 1 of 626 occupational therapist organizations in Idaho.
NPI age
16 years
Enumerated 2009-08-21
Primary specialty
Occupational Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jean
Owner
Last NPPES update
2015-02-26
Source: monthly bulk 2026-05
How this organization compares
Across 626 active occupational therapist providers in Idaho.
NPI age
16 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2009 → 2026
2009-08 Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
560 Memorial Dr Ste B
Pocatello, ID 832014073
📞 2084780258 fax 2082697336
Mailing address
560 Memorial Dr Ste B
Pocatello, ID 832014073
📞 2084780258 fax 2082697336
Authorized official
Janice Jean, MOTR/L, CHT
Owner
📞 2084780258
Individual providers at this organization
3 individual providers on file at this primary practice address.
Jake Bundy , MOTR/L
Occupational Therapist
NPI 1972005361
Tia Burns , MOTR/L, CHT
Occupational Therapist
NPI 1780919134
Kylee Permann , OTD, OTR/L
Occupational Therapist
NPI 1003279357
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-612 taxonomy 225X00000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
3 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
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Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.