P Praxis·MD
● Active Type 1 · Individual

Amanda Black, MOT, OTR/L

Occupational Therapist·Potlatch, ID· NPI 1992362818 · Enumerated 2019 · 6 years on NPI
Black is 1 of 1 occupational therapist providers in Potlatch and 1 of 626 in Idaho.
NPI age
6 years
Enumerated 2019-05-27
Primary specialty
Occupational Therapist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-04-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 626 active occupational therapist providers in Idaho.

NPI age
6 years
↓ 3 yr below median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 12% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-05Enumerated in NPPES
2019 2026

Where they practice

Practice location
510 Elm St
Potlatch, ID 83855
📞 2086693186fax 2087470782
Mailing address
1026 Grange Park Rd
Princeton, ID 838575500
📞 2086693186

Additional practice locations

1 secondary location on file with NPPES.

Location 2
904 White Ave
Moscow, ID 838433932
📞 2088821426

Specialties

  • Occupational Therapist Primary
    An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
    ID license #OT-1112 taxonomy 225X00000X
  • Occupational Therapist
    Occupational 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...
    ID license #OT-1112 taxonomy 225XP0200X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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