MICHAEL DAVID BLACK (NPI# 1104488816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104488816 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID BLACK |
| Credential | OTR/L |
| Practice Address |
600 N Robbins Rd Boise ID 83702-4565 |
| Mailing Address |
250 N Garden St Boise ID 83706-1832 |
| Practice Telephone | 2084894444 |
| Mailing Telephone | 3077476453 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT-2071 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699061390 | Michael Richard Black | Psychologist | 2913 N Commonwealth Ave Rm 301, Saint Joseph Hospital Campus, Manor Building, Chicago, IL 60657-6211 | 2011-06-22 |
| 1659392256 | Michael Darryl Black | Surgery | 927 45th St Ste 301, West Palm Beach, FL 33407-2450 | 2006-07-21 |
| 1437703873 | Michael Anthony Black | Counselor | 230 Main Street Ext, Middletown, CT 06457-4470 | 2019-07-24 |
| 1376016873 | Michael Vincent Black | Specialist/Technologist | 535 E 70th St, New York, NY 10021-4823 | 2019-01-07 |
| 1750858072 | Michael R Black | Registered Nurse | 901 Rainier Ave S, Seattle, WA 98144-2839 | 2018-10-24 |
| 1134652217 | Michael Black | Student in an Organized Health Care Education/Training Program | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2017-04-06 |
| 1780124560 | Michael W Black | Case Manager/Care Coordinator | 65 Messimer Dr, Newark, OH 43055-1874 | 2017-02-28 |
| 1851732499 | Michael Anthony Black | Marriage & Family Therapist | 1313 E Maple St, Bellingham, WA 98225-5708 | 2013-07-11 |
| 1952655888 | Michael Emery Black | Physical Therapist | 2525 S 135th Ave, Omaha, NE 68144-2424 | 2012-10-30 |
| 1659679199 | Michael Black | Counselor | 1212 S Broadway, Suite 200, Denver, CO 80210-1582 | 2011-03-08 |
| Street Address |
600 N ROBBINS RD |
| City | BOISE |
| State | ID |
| Zip Code | 83702-4565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508829516 | Wendy Rouse Rohin | Physical Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2006-04-10 |
| 1568082097 | Angela Colson | Recreation Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2020-04-24 |
| 1023658010 | Hannah Stevenson | Physical Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2020-01-08 |
| 1386290229 | Brandi Gustafson | Physical Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2019-08-15 |
| 1164084950 | Stacey Aileen Sigmond | Occupational Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2019-07-02 |
| 1275193666 | Erica Watkins | Occupational Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2019-06-18 |
| 1558856526 | Jennifer Forberg | Dietitian, Registered | 600 N Robbins Rd, Boise, ID 83702-4565 | 2018-06-22 |
| 1083105704 | Katherine Elizabeth Bostwick | Physical Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2018-05-29 |
| 1679087415 | Megan Doyle | Occupational Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2017-11-30 |
| 1255854816 | Mallory Hope Engelhardt | Occupational Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2017-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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 World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1447857578 | Daniel Zerwas | Occupational Therapist | 6572 E Signal Rock Dr, Boise, ID 83716-7082 | 2020-10-01 |
| 1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
| 1730649641 | Jordan Pollock | Occupational Therapist | 7960 W Rifleman St Ste 130, Boise, ID 83704-9014 | 2019-03-25 |
| 1285133017 | Ada Therapy Services Pllc | Occupational Therapist | 4696 W Overland Rd Ste 232, Boise, ID 83705-2864 | 2018-02-07 |
| 1275983769 | Sussette Hiers Newsom | Occupational Therapist | 2173 S Gekeler Ln, Boise, ID 83706-4337 | 2016-06-15 |
| 1043689474 | Macaile Hutt | Occupational Therapist | 1172 W Franklin Rd, Boise, ID 83709 | 2015-09-16 |
| 1811392194 | Melinda Brown | Occupational Therapist | 10844 W Oswego Dr, Boise, ID 83709-4557 | 2014-10-28 |
| 1770984080 | Karen Hammond | Occupational Therapist | 428 W Pueblo St, Boise, ID 83702-4429 | 2014-09-07 |
| 1427465640 | Heidi Isaacs | Occupational Therapist | 222 W Parliament Ct, Boise, ID 83706-4300 | 2014-07-21 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.