NPI age
16 years
Enumerated 2010-02-08
● Active Type 2 · Organization
Idaho Therapy Source
Idaho Therapy Source is 1 of 626 occupational therapist organizations in Idaho.
Primary specialty
Occupational Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dickens
Sole Member/ot
Last NPPES update
2010-02-08
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
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-02Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1812 N Midland Blvd
Nampa, ID 836511747
Mailing address
10984 W Box Canyon St
Star, ID 836695691
Authorized official
Christine M Dickens, OT
Sole Member/ot
📞 2084679117
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Marla Ambrose, SLP Speech-Language Pathologist NPI 1689828907
- Samantha Smith, DPT Physical Therapist NPI 1538487194
Specialties
-
Occupational Therapist PrimaryAn 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...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.