ADVENTURE PEDIATRIC THERAPY LLC
NPI 1558014233
Clinic/Center - Health Service in Boise, ID

Active since February 01, 2022
9492 W FAIRVIEW AVE, BOISE, ID 83704(208) 495-6715 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 19, 2023, Feb 1, 2022 (2 updates tracked since 2022).

About Adventure Pediatric Therapy Llc NPPES

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

ADVENTURE PEDIATRIC THERAPY LLC (NPI 1558014233) is a healthcare organization registered as a health service in Boise, Idaho and active in the NPI registry since February 2022. The organization lists Catlin Jensen, Owner, as its authorized official.

NPPES Registry Identity

NPI1558014233
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameADVENTURE PEDIATRIC THERAPY LLC
Location Address9492 W FAIRVIEW AVEBoise, ID 83704-8101
Mailing Address9492 W Fairview AveBoise, ID 83704-8101 · (208) 495-6715
Organization SubpartNo
Authorized OfficialCatlin JensenOwner · (208) 850-1917
Enumeration DateFebruary 1, 2022
Last NPPES UpdateJune 19, 20232 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
✔ NPI 1558014233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
9492 W FAIRVIEW AVE, Boise, ID 83704

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adventure Pediatric Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Adventure Pediatric Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Occupational Therapist in Private Practice
NPI 1760996912
449 S FITNESS PL
Eagle, ID 83616
(208) 957-6301
5.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Adventure Pediatric Therapy LLC's NPI number?

The NPI number for Adventure Pediatric Therapy LLC is 1558014233. It was assigned to this organization in the NPPES registry on February 1, 2022.

Where is Adventure Pediatric Therapy LLC located?

Adventure Pediatric Therapy LLC is located at 9492 W Fairview Ave, Boise, ID 83704. The listed phone number is (208) 495-6715.

What is Adventure Pediatric Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Adventure Pediatric Therapy LLC enrolled in Medicare?

Yes. Adventure Pediatric Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Adventure Pediatric Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Occupational Therapist in Private Practice) reassigns their Medicare billing to Adventure Pediatric Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Adventure Pediatric Therapy LLC was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.