Occupational Therapist
BEACON THERAPY LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1184559031 · enumerated 2026-06-15 · record updated 2026-06-15. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. GARY WILLIS OT, Occupational Therapist · (208) 604-0800
Addresses and phones
- Mailing address 1030 STARS RD, CHUBBUCK, ID, 83202-1982 (208) 604-0800 Google Maps Apple Maps OpenStreetMap
- Practice location 151 N 4TH AVE STE A, POCATELLO, ID, 83201-6300 (208) 604-0800 Google Maps Apple Maps OpenStreetMap
Specialties
- Occupational Therapist, Mental Health 225XM0800X
- Occupational Therapist, Neurorehabilitation 225XN1300X
- Occupational Therapist, Physical Rehabilitation 225XP0019X
- Occupational Therapist, Pediatrics 225XP0200X
- Occupational Therapist, Driving and Community Mobility 225XR0403X
- Physical Therapist 225100000X
- Occupational Therapist, Environmental Modification 225XE0001X
- Occupational Therapist, Ergonomics 225XE1200X
- Occupational Therapist, Gerontology 225XG0600X
- Occupational Therapist, Human Factors 225XH1300X
- Speech-Language Pathologist, 235Z00000X
- Occupational Therapist 225X00000X · Primary
In this directory
Locations and evidence
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Practice location
POCATELLO, ID, 832016300
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.