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Preston Roger Poulter, OTR/L MSOT

NPI 1154172245ActiveIndividual· Occupational Therapist· Idaho Falls, ID

Occupational Therapist (OTR/L MSOT) in Idaho Falls, Idaho, trained at At Still Un of Hlth Sciences, Col of Osteo Med, Mesa (class of 2023). Enrolled in Medicare as practitioner - occupational therapist in private practice.

Overview

NPI1154172245
StatusActive
Entity typeIndividual
CredentialOTR/L MSOT
Sole proprietorYes
NPI issuedMar 28, 2024
Last updated in NPPESApr 2, 2024
Certified by providerApr 2, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Occupational Therapist Primary225X00000XOT-2860ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Occupational Therapist in Private Practice (ID)

Medicare sources and data years

Education and affiliations

Medical schoolAt Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Graduation year2023
Medicare specialtyOccupational Therapist In Private Practice

Medical group

Source: CMS Care Compare

Other occupational therapists in Idaho Falls

All 41 occupational therapists in Idaho Falls · All occupational therapists in Idaho