NPI age
10 years
Enumerated 2015-05-24
● Active
Type 1 · Individual
MR. Kristopher Dwayne Wallin, COTA/L
Wallin is 1 of 41 occupational therapy assistant providers in Boise and 1 of 160 in Idaho.
Primary specialty
Occupational Therapy Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-05-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 160 active occupational therapy assistant providers in Idaho.
NPI age
10 years
≈ at median (9 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-05Enumerated in NPPES
2015
2026
Where they practice
Practice location
8211 W Ustick Rd
Boise, ID 837045756
Mailing address
979 E Ensolorado St
Kuna, ID 836345179
Specialties
-
Occupational Therapy Assistant PrimaryAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 340040 | NATIONAL BOARD OF OCCUPATIONAL THERAPY |
Practice context
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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