NPI age
4 years
Enumerated 2022-02-01
● Active Type 2 · Organization
Adventure Pediatric Therapy Llc
Adventure Pediatric Therapy Llc is 1 of 55 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jensen
Owner
Last NPPES update
2023-06-19
Source: monthly bulk 2026-05
How this organization compares
Across 55 active clinic/center providers in Idaho.
NPI age
4 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-02Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
9492 W Fairview Ave
Boise, ID 837048101
Mailing address
9492 W Fairview Ave
Boise, ID 837048101
Authorized official
Catlin Jensen, OTD, OTR/L
Owner
📞 2088501917
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Esther Grimes Peer Specialist NPI 1922957737
- Everline Nyakundi, NP Nurse Practitioner NPI 1144016528
- Georgetta Okumagba, PMHNP Psychiatry & Neurology NPI 1801775507
- Tosha Thomas Case Manager/Care Coordinator NPI 1932087459
- Steve Welsh, LCSW, ACADC Social Worker NPI 1912498825
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 5 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.