NPI age
4 years
Enumerated 2022-04-05
● Active
Type 1 · Individual
Kiley Petencin
Petencin is 1 of 31 occupational therapist providers in Idaho Falls and 1 of 137 in Idaho.
Primary specialty
Occupational Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-04-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 137 active occupational therapist providers in Idaho.
NPI age
4 years
≈ at median (5 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-04Enumerated in NPPES
2022
2026
Where they practice
Practice location
1460 Elk Creek Dr
Idaho Falls, ID 834048237
Mailing address
197 E 19th St
Idaho Falls, ID 834046020
Specialties
-
Occupational Therapist PrimaryOccupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life...
Practice context
Part of a multi-provider practice. 73 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.