MR. THEODORE WILLIAM PETERSON O.T.R.
NPI 1558434928
Occupational Therapist in Pocatello, ID

Active since November 15, 2006
IDAHO STATE UNIVERSITY, CAMPUS BOX 8045, POCATELLO, ID 83209(208) 282-4631 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Theodore William Peterson O.t.r. NPPES

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

MR. THEODORE WILLIAM PETERSON O.T.R. (NPI 1558434928) is an individual occupational therapist in Pocatello, Idaho, licensed in Idaho (OT-886) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1558434928
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameMR. THEODORE WILLIAM PETERSONCredential: O.T.R.
Location AddressIDAHO STATE UNIVERSITY, CAMPUS BOX 8045Pocatello, ID 83209-0001
Mailing Address2080 Ardella DrPocatello, ID 83201-2615 · (208) 904-1574
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateAugust 18, 2008
✔ NPI 1558434928 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
Licenses✔ Licensed in ID · OT-886✔ Licensed in IA · 00800
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.
IDAHO STATE UNIVERSITY, Pocatello, ID 83209

Other Providers at the Same Location NPPES 6

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

Psychologist (Cognitive & Behavioral)
IDAHO STATE UNIVERSITY, DEPARTMENT OF PSYCHOLOGY, STOP 8112
POCATELLO, ID 83209
Dentist
IDAHO STATE UNIVERSITY
POCATELLO, ID 83209
Audiologist
IDAHO STATE UNIVERSITY, 921 S. 8TH STOP 8116
POCATELLO, ID 83209
Physical Therapist
IDAHO STATE UNIVERSITY, MAIL STOP 8045
POCATELLO, ID 83209
Physical Therapist
IDAHO STATE UNIVERSITY, CAMPUS BOX 8045
POCATELLO, ID 83209
Occupational Therapist
IDAHO STATE UNIVERSITY, CAMPUS STOP 8045
POCATELLO, ID 83209

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 Theodore Peterson's NPI number?

The NPI number for Theodore Peterson is 1558434928. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Theodore Peterson located?

Theodore Peterson practices at Idaho State University Campus Box 8045, Pocatello, ID 83209. The listed phone number is (208) 282-4631.

What is Theodore Peterson's specialty?

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

When was this NPI record last updated?

The NPPES record for Theodore Peterson was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.