TIFFANY STATHAM
NPI 1689553075
Developmental Therapist in Pocatello, ID

Active since August 29, 2025
737 W WHITMAN ST, POCATELLO, ID 83204(208) 241-6456 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tiffany Statham NPPES

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

TIFFANY STATHAM (NPI 1689553075) is an individual developmental therapist in Pocatello, Idaho and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1689553075
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameTIFFANY STATHAM
Location Address737 W WHITMAN STPocatello, ID 83204-4203
Mailing Address737 W Whitman StPocatello, ID 83204-4203 · (208) 241-6456
Sole ProprietorYes
Enumeration DateAugust 29, 2025
Last NPPES UpdateSeptember 2, 2025
NPPES CertifiedSeptember 2, 2025
NPI 1689553075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Q00000X
Definition
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Also ListedBehavior TechnicianTaxonomy 106S00000X
737 W WHITMAN ST, Pocatello, ID 83204

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 Tiffany Statham's NPI number?

The NPI number for Tiffany Statham is 1689553075. It was assigned to this individual provider in the NPPES registry on August 29, 2025.

Where is Tiffany Statham located?

Tiffany Statham practices at 737 W Whitman St, Pocatello, ID 83204. The listed phone number is (208) 241-6456.

What is Tiffany Statham's specialty?

The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.

When was this NPI record last updated?

The NPPES record for Tiffany Statham was last updated on September 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.