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Beacon Therapy LLC

NPI 1184559031ActiveOrganization· Occupational Therapist· Pocatello, ID

Occupational Therapist in Pocatello, Idaho, registered in NPPES in June 2026. The authorized official on file is Gary H. Willis, OT, Occupational Therapist.

Overview

NPI1184559031
StatusActive
Entity typeOrganization
NPI issuedJun 15, 2026
Last updated in NPPESJun 15, 2026
Certified by providerJun 14, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Occupational Therapist Primary225X00000X——
Physical Therapist225100000X——
Occupational Therapist, Environmental Modification225XE0001X——
Occupational Therapist, Ergonomics225XE1200X——
Occupational Therapist, Gerontology225XG0600X——
Occupational Therapist, Human Factors225XH1300X——
Occupational Therapist, Mental Health225XM0800X——
Occupational Therapist, Neurorehabilitation225XN1300X——
Occupational Therapist, Physical Rehabilitation225XP0019X——
Occupational Therapist, Pediatrics225XP0200X——
Occupational Therapist, Driving and Community Mobility225XR0403X——
Speech-Language Pathologist235Z00000X——

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)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other occupational therapists in Pocatello

All 51 occupational therapists in Pocatello · All occupational therapists in Idaho