Jessica Bagley, MOTR/L
Occupational Therapist in Idaho Falls, ID. Individual provider (NPI-1).
NPI number1720180441
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720180441
- Entity type
- Individual (NPI-1)
- Name
- Miss Jessica Bagley
- Credential
- MOTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT-779 | ID | Yes |
Practice location
510 E 17th StIdaho Falls, ID 83404-6154
Phone 208-589-9578 · Fax 208-542-9577
Mailing address
3841 E 38 NRigby, ID 83442-5708
Phone 208-745-9373
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 41 Occupational Therapist providers in Idaho Falls · All 3,646 providers in Idaho Falls
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