NPI age
4 years
Enumerated 2022-05-13
● Active Type 2 · Organization
Subpart
Csrm Llc
Csrm Llc is 1 of 21 occupational therapist organizations in Idaho.
Primary specialty
Occupational Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Miller
Owner
Last NPPES update
2022-09-19
Source: monthly bulk 2026-05
How this organization compares
Across 21 active occupational therapist providers in Idaho.
NPI age
4 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-05Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
4842 N Cortona Way Ste 100
Meridian, ID 836463171
Mailing address
7979 W Rifleman St Ste 200
Boise, ID 837049066
Authorized official
Ronald Dale Miller
Owner
📞 2083773850
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Carson Dodd, DPT Physical Therapist NPI 1538843990
- Grace Hwang, OTR/L Occupational Therapist NPI 1437831450
- Ethan McCarver, DPT Physical Therapist NPI 1821884826
- Braid Weick, PT Physical Therapist NPI 1639919004
Specialties
-
Occupational Therapist PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Kestrel Therapy Group
-
Kestrel Therapy Group
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
Subpart of Csrm Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.