CAMP HIPPO PEDIATRIC THERAPY LLC. NPI 1902084833

NPI Information

  • NPI: 1902084833
  • Provider Name: CAMP HIPPO PEDIATRIC THERAPY LLC.
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 7 N 600 W
    BLACKFOOT, ID
    ZIP 83221
  • Phone: (208) 782-2267

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NPI Details

CAMP HIPPO PEDIATRIC THERAPY LLC. is a multi-specialty clinic center in Blackfoot, ID. CAMP HIPPO PEDIATRIC THERAPY LLC. NPI is 1902084833. The provider is registered as an organization entity type.

The provider's business location address is:

7 N 600 W
BLACKFOOT, ID
ZIP 83221-533
Phone: (208) 782-2267
Fax: (208) 684-9812

The provider's authorized official is Betty C. Jaques .
The authorized official title is Occupational Therapist/owner and has the following contact phone number (208) 782-2267.

The enumeration date for this NPI number is 2/1/2008 and was last updated on 2/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyOT-232IDAHONo
2261QM1300XClinic/CenterMulti-SpecialtyOT-232IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1232-OTOTHERIDAHOOT LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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