Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730644071 Individual Practitioner Female Practitioner

Kaneshia Jade Nelson , COTA, L

Occupational Therapy Assistant • Eagle, ID

Professional Overview & Biography Verified Profile Summary

Kaneshia Nelson, COTA, L is a registered healthcare professional specializing in Occupational Therapy Assistant in Eagle, ID. Practice services are available at 449 S FITNESS PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

449 S Fitness Pl

Eagle, ID 836166828

Telephone 2089576301
Associated Practice Facility / Clinic
🏢 Ot 4 Kidz, Inc Facility NPI 1225449085

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Eagle, ID

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

Practicing in Eagle, 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-1731

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Victoria Barber

Occupational Therapy Assistant

NPI 1043983521
Dr. Amy Shaver , BS, OTD

Occupational Therapist

NPI 1053033076

Bachelor of Science, Doctor of Occupational Therapy

Megan Gibb

Occupational Therapy Assistant

NPI 1063256006
Colby Taylor

Occupational Therapist - Pediatrics

NPI 1104314681
Miranda Sullivan , MS, CCC-SLP

Speech-Language Pathologist

NPI 1124600697

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Jenny Brown , COTA

Occupational Therapy Assistant

NPI 1144043308

Certified Occupational Therapy Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 31, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 31, 2019

Registered at 449 S FITNESS PL, EAGLE, ID 836166828 (Tel: 2089576301)

📍
Updated Business Mailing Address January 31, 2019

Registered at 12098 W TIO LEO CT, BOISE, ID 837092289 (Tel: 2083171146)

👤
Provider Name / Credentials Updated January 31, 2019

Recorded as KANESHIA NELSON, COTA/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2019

Occupational Therapy Assistant (License #OTA-1731 in ID)

🟢
Initial NPI Registration & Enumeration January 31, 2019

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: 1730644071
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2019
Last Update: January 31, 2019
Sole Proprietor: No

Mailing Address

12098 W Tio Leo Ct

Boise, ID 837092289

Phone: 2083171146

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.