Betty Christina Jaques, OTRL
NPI 1811054265ActiveIndividual· Occupational Therapist· Blackfoot, ID
Occupational Therapist (OTRL) in Blackfoot, Idaho, licensed in ID, with an NPI issued in January 2007. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1811054265 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTRL |
| Sole proprietor | Yes |
| NPI issued | Jan 3, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT-232 | ID |
| Occupational Therapist, Pediatrics | 225XP0200X | OT-232 | 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
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
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