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

KILEY PETENCIN
NPI 1639810823
Occupational Therapist in Idaho Falls, ID

Active since April 05, 2022
1460 ELK CREEK DR, IDAHO FALLS, ID 83404(208) 535-1286 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2026, Apr 5, 2022 (2 updates tracked since 2022).

About Kiley Petencin NPPES

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

KILEY PETENCIN (NPI 1639810823) is an individual occupational therapist in Idaho Falls, Idaho, licensed in Idaho (OT-1736) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1639810823
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKILEY PETENCIN
Location Address1460 ELK CREEK DRIdaho Falls, ID 83404-8237
Mailing Address197 E 19th StIdaho Falls, ID 83404-6020 · (434) 825-4316
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateJuly 27, 20262 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
NPI 1639810823 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-1736 Licensed in OR · 379227
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.
1460 ELK CREEK DR, Idaho Falls, ID 83404

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Speech-Language Pathologist
1460 ELK CREEK DR
IDAHO FALLS, ID 83404
Speech-Language Pathologist
1460 ELK CREEK DR
IDAHO FALLS, ID 83404
Speech-Language Pathologist
1460 ELK CREEK DR
IDAHO FALLS, ID 83404
Occupational Therapist (Pediatrics)
1460 ELK CREEK DR
IDAHO FALLS, ID 83404
Occupational Therapist
1460 ELK CREEK DR
IDAHO FALLS, ID 83404
Occupational Therapist (Pediatrics)
1460 ELK CREEK DR
IDAHO FALLS, ID 83404
Occupational Therapist (Pediatrics)
1460 ELK CREEK DR
IDAHO FALLS, ID 83404
Speech-Language Pathologist
1460 ELK CREEK DR
IDAHO FALLS, ID 83404

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 Kiley Petencin's NPI number?

The NPI number for Kiley Petencin is 1639810823. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Kiley Petencin located?

Kiley Petencin practices at 1460 Elk Creek Dr, Idaho Falls, ID 83404. The listed phone number is (208) 535-1286.

What is Kiley Petencin's specialty?

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

What insurance does Kiley Petencin accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Kiley Petencin 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 Kiley Petencin was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 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.