NPI age
7 years
Enumerated 2019-01-31
● Active
Type 1 · Individual
Kaneshia Jade Nelson, COTA/L
Nelson is 1 of 18 occupational therapy assistant providers in Eagle and 1 of 160 in Idaho.
Primary specialty
Occupational Therapy Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-01-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 160 active occupational therapy assistant providers in Idaho.
NPI age
7 years
↓ 2 yr below median (9 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-01Enumerated in NPPES
2019
2026
Where they practice
Practice location
449 S Fitness Pl
Eagle, ID 836166828
Mailing address
12098 W Tio Leo Ct
Boise, ID 837092289
Specialties
-
Occupational Therapy Assistant PrimaryAn 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...
Practice context
Part of a multi-provider practice. 44 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 →
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