Elisa Bovenzi, OT
NPI 1285888503ActiveIndividual· Occupational Therapist, Pediatrics· Boise, ID
Occupational Therapist, Pediatrics (OT) in Boise, Idaho, trained at Loma Linda University School of Medicine (class of 1996). Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1285888503 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OT |
| Sole proprietor | Yes |
| NPI issued | Nov 13, 2008 |
| Last updated in NPPES | Oct 5, 2022 |
| Certified by provider | Oct 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist, Pediatrics Primary | 225XP0200X | OT-446 | ID |
| Specialist | 174400000X | OT-446 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (ID) |
|---|
Education and affiliations
| Medical school | Loma Linda University School of Medicine |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Aegis Group Practice LLCToledo, OH · 390 clinicians
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All 24 pediatric occupational therapists in Boise · All pediatric occupational therapists in Idaho