Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BOISE OUTDOOR OT
NPI 1619643590
Occupational Therapist - Pediatrics in Garden City, ID

Active since August 19, 2021
522 E 40TH ST, GARDEN CITY, ID 83714(323) 640-2305 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 21, 2026, Nov 15, 2021, Aug 19, 2021 (3 updates tracked since 2021).

About Boise Outdoor Ot NPPES

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

BOISE OUTDOOR OT (NPI 1619643590) is a healthcare organization registered as a pediatrics in Garden City, Idaho and active in the NPI registry since August 2021. The organization lists Daniele Fallon, Occupational Therapist, as its authorized official.

NPPES Registry Identity

NPI1619643590
Entity TypeOrganization
Primary Taxonomy225XP0200X
Legal Business NameBOISE OUTDOOR OT
Location Address522 E 40TH STGarden City, ID 83714-6358
Mailing Address522 E 40th StGarden City, ID 83714-6358 · (208) 916-2657 · Fax (208) 906-2342
Organization SubpartNo
Authorized OfficialDaniele FallonOccupational Therapist · (208) 918-2657
Enumeration DateAugust 19, 2021
Last NPPES UpdateAugust 21, 20263 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
NPI 1619643590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XP0200X
Definition
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
522 E 40TH ST, Garden City, ID 83714

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Occupational Therapist (Pediatrics)
522 E 40TH ST
GARDEN CITY, ID 83714

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 Boise Outdoor Ot's NPI number?

The NPI number for Boise Outdoor Ot is 1619643590. It was assigned to this organization in the NPPES registry on August 19, 2021.

Where is Boise Outdoor Ot located?

Boise Outdoor Ot is located at 522 E 40th St, Garden City, ID 83714. The listed phone number is (323) 640-2305.

What is Boise Outdoor Ot's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.

When was this NPI record last updated?

The NPPES record for Boise Outdoor Ot was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.