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JOURNEY PEDIATRIC THERAPY
NPI 1023487105
Clinic/Center - Rehabilitation in Sandpoint, ID

Active since September 18, 2015
1009 HIGHWAY 2 STE C, SANDPOINT, ID 83864(208) 627-8615(208) 441-2641 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Journey Pediatric Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOURNEY PEDIATRIC THERAPY (NPI 1023487105) is a healthcare organization registered as a rehabilitation in Sandpoint, Idaho and active in the NPI registry since September 2015. The organization lists Maresa Black, Occupational Therapist And Owner, as its authorized official.

NPPES Registry Identity

NPI1023487105
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameJOURNEY PEDIATRIC THERAPY
Location Address1009 HIGHWAY 2 STE CSandpoint, ID 83864-2713
Mailing AddressPo Box 2476Sandpoint, ID 83864-0914
Phone(208) 627-8615
Fax(208) 441-2641
Organization SubpartNo
Authorized OfficialMaresa BlackOccupational Therapist And Owner · (208) 627-8615
Enumeration DateSeptember 18, 2015
Last NPPES UpdateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1023487105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
License✔ Licensed in ID · OT-1405
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X
1009 HIGHWAY 2 STE C, Sandpoint, ID 83864
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Other Identifiers 2

Medicaid1023487105ID
Medicaid1750758702ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAITLYN ELIKH OTR/L
Occupational Therapist
1009 HIGHWAY 2 STE C
SANDPOINT, ID 83864
Bonner County (208) 627-8615

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Journey Pediatric Therapy's NPI number?

The NPI number for Journey Pediatric Therapy is 1023487105. It was assigned to this organization in the NPPES registry on September 18, 2015.

Where is Journey Pediatric Therapy located?

Journey Pediatric Therapy is located at 1009 Highway 2 Ste C, Sandpoint, ID 83864. The listed phone number is (208) 627-8615.

What is Journey Pediatric Therapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Journey Pediatric Therapy was last updated on June 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.