CRYSTAL HELDER (NPI# 1821320698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821320698 |
| Entity Type | Individual |
| Full Name | CRYSTAL HELDER |
| Credential | COTA, CMT |
| Practice Address |
12604 N 14th Ave Boise ID 83714-5060 |
| Practice Telephone | 2089081322 |
| Mailing Telephone | 2089081322 |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2015-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA1109 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | M-09-020 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12604 N 14TH AVE |
| City | BOISE |
| State | ID |
| Zip Code | 83714-5060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An 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 successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028151 | Marissa Montamat | Occupational Therapy Assistant | 3550 W Americana Ter, Boise, ID 83706-4728 | 2020-03-18 |
| 1992236988 | Katie Chase | Occupational Therapy Assistant | 1410 S Broadway Ave, Boise, ID 83706-3706 | 2017-03-22 |
| 1679924435 | Chong Lucey | Occupational Therapy Assistant | 11892 W Clover Meadows Dr, Boise, ID 83713-6608 | 2016-06-23 |
| 1144635129 | Illa Stice | Occupational Therapy Assistant | 3812 N Tamarack Dr, Boise, ID 83703-4556 | 2014-06-27 |
| 1629492095 | Karen Seal | Occupational Therapy Assistant | 8932 Inca Ct, Boise, ID 83709-5774 | 2014-02-06 |
| 1235473786 | Amanda Garcia | Occupational Therapy Assistant | 310 S Stapleton St, Boise, ID 83705-1469 | 2012-11-22 |
| 1861741456 | Hayley Jo Giesler | Occupational Therapy Assistant | 3169 South Bown Way, Boise, ID 83706 | 2012-08-29 |
| 1740563634 | Kenneth Wayne Smith | Occupational Therapy Assistant | 12046 W Spring River Ct, Boise, ID 83709-5160 | 2011-09-27 |
| 1083815211 | Sarah L. Yoder | Occupational Therapy Assistant | 100 W State St, Boise, ID 83702-6126 | 2007-05-28 |
| 1669080008 | Dianne Lynn Nikakis | Occupational Therapy Assistant | 1410 S Broadway Ave, Boise, ID 83706-3706 | 2020-07-22 |
| 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.