PRESTON ROGER POULTER OTR/L MSOT
NPI 1154172245
Occupational Therapist in Idaho Falls, ID

Active since March 28, 2024Accepts Medicare Assignment
564 S WOODRUFF AVE, IDAHO FALLS, ID 83401(208) 523-7571(208) 523-7573 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Preston Roger Poulter Otr/l Msot NPPES

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

PRESTON ROGER POULTER OTR/L MSOT (NPI 1154172245) is an individual occupational therapist in Idaho Falls, Idaho, licensed in Idaho (OT-2860) and active in the NPI registry since March 2024. He is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2023).

NPPES Registry Identity

NPI1154172245
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NamePRESTON ROGER POULTERCredential: OTR/L MSOT
Location Address564 S WOODRUFF AVEIdaho Falls, ID 83401-5298
Mailing Address564 S Woodruff AveIdaho Falls, ID 83401-5298 · (208) 523-7571 · Fax (208) 523-7573
Fax(208) 523-7573
Sole ProprietorYes
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2023
Enumeration DateMarch 28, 2024
Last NPPES UpdateApril 2, 2024
NPPES CertifiedApril 2, 2024
NPI 1154172245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in ID · OT-2860
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
564 S WOODRUFF AVE, Idaho Falls, ID 83401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Preston Roger Poulter Otr/l Msot is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547609992
PECOS Enrollment IDI20240417003047

Other Providers at the Same Location NPPES 2

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

Occupational Therapist (Hand)
564 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Occupational Therapist
564 S WOODRUFF AVE
IDAHO FALLS, ID 83401

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 Preston Poulter's NPI number?

The NPI number for Preston Poulter is 1154172245. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Preston Poulter located?

Preston Poulter practices at 564 S Woodruff Ave, Idaho Falls, ID 83401. The listed phone number is (208) 523-7571.

What is Preston Poulter's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Preston Poulter enrolled in Medicare?

Yes. Preston Poulter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Preston Poulter accept?

Health plans from University of Utah Health Plans list Preston Poulter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Preston Poulter was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.