JILL PETERSON (NPI# 1134654478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134654478 |
| Entity Type | Individual |
| Full Name | JILL PETERSON |
| Credential | OTR/L |
| Practice Address |
914 S Jefferson St Apt. 1 Moscow ID 83843-3163 |
| Practice Telephone | 7014304013 |
| Mailing Telephone | 7014304013 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT-1675 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487977906 | Jill A Peterson | Pharmacist | 47-49 Lake Ave. Extension, Danbury, CT 06810 | 2010-03-11 |
| 1922153931 | Jill Ann Peterson | Psychologist | 520 N Broad St # 1, Mankato, MN 56001-3421 | 2007-01-23 |
| 1861562274 | Jill C Peterson | Psychologist | 6600 Kalanianaole Hwy., Suite 225, Honolulu, HI 96825 | 2006-11-09 |
| 1356379739 | Jill Peterson | Dentist | 906 N Fielder Rd, Arlington, TX 76012-3195 | 2006-06-28 |
| 1629074232 | Jill Christine Peterson | Emergency Medicine | 622 Washington St, Comprehensive Womens Health Services, Watertown, NY 13601-4036 | 2005-06-28 |
| 1144529850 | Jill Anne Peterson | Nurse Practitioner | 55 Fruit St, Warren 11 - Pediatric Surgery, Boston, MA 02114-2621 | 2011-03-21 |
| 1700107612 | Jill Peterson | Specialist | 6125 N Sunshine St, Coeur D Alene, ID 83815 | 2010-06-15 |
| 1669695136 | Jill M Peterson | Psychologist | 3801 Spring St, Racine, WI 53405-1667 | 2007-04-11 |
| 1134203326 | Jill M Peterson | Family Medicine | 602 N Main St, Summerville, SC 29483-6627 | 2006-10-24 |
| Street Address |
914 S JEFFERSON ST APT. 1 |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-3163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| 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 |
|---|---|---|---|---|
| 1134564834 | Angie Matkins | Occupational Therapist | 420 Rowe Street, Moscow, ID 83843-4576 | 2013-05-08 |
| 1891080099 | Karen Hill | Occupational Therapist | 2272 Arborcrest Rd, Moscow, ID 83843-9106 | 2011-06-15 |
| 1457584146 | Melissa Lynn Pica | Occupational Therapist | 675 Saint Marys Villa Rd, Moscow, PA 18444-9614 | 2009-08-27 |
| 1245378785 | Barbara Anne Mahoney | Occupational Therapist | 225 E Palouse River Dr, Moscow, ID 83843-8915 | 2007-02-04 |
| 1831679455 | Abigail Bayly | Occupational Therapist | 420 Rowe St, Moscow, ID 83843-9319 | 2018-08-14 |
| 1366751315 | Frances Anne Preston | Occupational Therapist | 640 N Eisenhower St, Moscow, ID 83843-9588 | 2010-09-24 |
| 1386970036 | Nancy Jane Akin | Occupational Therapist | 872 Troy Rd, Moscow, ID 83843-4046 | 2009-10-29 |
| 1205099710 | Anita Evans | Occupational Therapist | 420 Rowe St, Moscow, ID 83843-9319 | 2008-07-03 |
| 1376702092 | Jenifer Ann Howerton | Occupational Therapist | 420 Rowe St, Moscow, ID 83843-9319 | 2008-06-06 |
| 1841340486 | Dayna K. Willbanks | Occupational Therapist | 106 E 3rd St, Moscow, ID 83843-2970 | 2007-01-12 |
| Find all providers in MOSCOW | ||||
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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.