P Praxis·MD
● Active Type 1 · Individual

Tayler Peck, COTA

Occupational Therapy Assistant·Blackfoot, ID· NPI 1497154280 · Enumerated 2014 · 11 years on NPI
Peck is 1 of 4 occupational therapy assistant providers in Blackfoot and 1 of 160 in Idaho.
NPI age
11 years
Enumerated 2014-08-18
Primary specialty
Occupational Therapy Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-03-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 160 active occupational therapy assistant providers in Idaho.

NPI age
11 years
↑ 1 yr above median (9 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-08Enumerated in NPPES
2014 2026

Where they practice

Practice location
7 N 600 W
Blackfoot, ID 832215533
📞 2087822267fax 2086849812
Mailing address
878 Brookside Ln
Pocatello, ID 832045039
📞 2084067799

Specialties

  • Occupational Therapy Assistant Primary
    An 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...
    ID license #OTAL-1363 taxonomy 224Z00000X

Practice context

Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.

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How to verify this provider

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

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