Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205215274 Individual Practitioner Male Practitioner

Kristopher Dwayne Wallin , COTA, L

Occupational Therapy Assistant • Boise, ID

Professional Overview & Biography Verified Profile Summary

Kristopher Wallin, COTA, L is a registered healthcare professional specializing in Occupational Therapy Assistant in Boise, ID. Practice services are available at 8211 W USTICK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8211 W Ustick Rd

Boise, ID 837045756

Telephone 2083753700
Associated Practice Facility / Clinic
🏢 Peak Medical Of Boise Llc Facility NPI 1194762815

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
42 Specialists

Practicing in Boise, ID (167 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License ID OTA-1423

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID National Board Of Occupational Therapy
340040

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Christie Johnson , PT

Physical Therapist

NPI 1073857322

Physical Therapist

Kenneth Cook , OTA, L

Occupational Therapy Assistant

NPI 1316281801
Shawna Botos , PTA

Physical Therapy Assistant

NPI 1437493772

Physical Therapist Assistant

Camille Karwisch

Student in an Organized Health Care Education/Training Program

NPI 1669920724
Kristine Rees , PT

Physical Therapist

NPI 1861736100

Physical Therapist

Dennis Ramsey , PTA

Physical Therapy Assistant

NPI 1982096657

Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 24, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2015

Registered at 8211 W USTICK RD, BOISE, ID 837045756 (Tel: 2083753700)

📍
Updated Business Mailing Address May 24, 2015

Registered at 979 E ENSOLORADO ST, KUNA, ID 836345179 (Tel: 2086080809)

👤
Provider Name / Credentials Updated May 24, 2015

Recorded as KRISTOPHER WALLIN, COTA/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2015

Occupational Therapy Assistant (License #OTA-1423 in ID)

🟢
Initial NPI Registration & Enumeration May 24, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205215274
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2015
Last Update: May 24, 2015
Sole Proprietor: No

Mailing Address

979 E Ensolorado St

Kuna, ID 836345179

Phone: 2086080809

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.