Organization · Type 2 NPI

Beyond Rehab

Neurorehabilitation Occupational Therapist · Nampa, ID

NPI number 1083439251 Active

Practice location

10122 Irongate Dr
Nampa, ID 83687-7920

Specialties and licenses

Taxonomy	Code	License
Physical Therapist	225100000X	None listed
Neurology Physical Therapist	2251N0400X	None listed
Occupational Therapist	225X00000X	None listed
Neurorehabilitation Occupational Therapist Primary	225XN1300X	None listed
Speech-Language Pathologist	235Z00000X	None listed

Neurorehabilitation Occupational Therapist: Definition to come...

NPI record

NPI: 1083439251
Entity type: Organization (Type 2)
Issued: Nov 21, 2024
Last updated: Nov 24, 2024
Status: Active

Other names

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Neuro Clinic Idaho · doing business as
Neuro Clinic Idaho · doing business as

Authorized official

Ariel Podjun, OTR/L
Occupational Therapist
(307) 389-7509

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083439251

Beyond Rehab's National Provider Identifier is 1083439251, issued on Nov 21, 2024. The primary taxonomy on file is Neurorehabilitation Occupational Therapist (225XN1300X), and the practice location is in Nampa, ID. The record was last updated on Nov 24, 2024.