NPI age
11 years
Enumerated 2014-10-28
● Active Type 2 · Organization
Pediatric Development Clinic
Pediatric Development Clinic is 1 of 120 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
King
President
Last NPPES update
2014-10-28
Source: monthly bulk 2026-05
How this organization compares
Across 120 active clinic/center providers in Idaho.
NPI age
11 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-10Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
4846 Wind River Rd
Idaho Falls, ID 834015828
Mailing address
Po Box 365
Iona, ID 834270365
Authorized official
James A King, MS, OTR/L
President
📞 2083397234
Individual providers at this organization
1 individual provider on file at this primary practice address.
- James King, MS, OTR/L Occupational Therapist NPI 1538355532
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
PDC
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Provyx · Custom healthcare lists
Need all 120 Clinic/Center providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.