GARY HOWARD WILLIS II O.T.
NPI 1710050414
Occupational Therapist in Pocatello, ID

Active since November 17, 2006
151 N 4TH AVE STE A, POCATELLO, ID 83201(208) 604-0800 Get Directions Write a Review

NPPES record last updated: June 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gary Howard Willis Ii O.t. NPPES

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

GARY HOWARD WILLIS II O.T. (NPI 1710050414) is an individual occupational therapist in Pocatello, Idaho, licensed in Idaho (OT593) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1710050414
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameGARY HOWARD WILLIS IICredential: O.T.
Location Address151 N 4TH AVE STE APocatello, ID 83201-6300
Mailing Address1030 Stars RdChubbuck, ID 83202-1982 · (208) 604-0800
Sole ProprietorYes
Enumeration DateNovember 17, 2006
Last NPPES UpdateJune 14, 2026
NPPES CertifiedJune 14, 2026
NPI 1710050414 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
License Licensed in ID · OT593
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.

151 N 4TH AVE STE A, Pocatello, ID 83201

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Massage Therapist
151 N 4TH AVE STE A
POCATELLO, ID 83201
Occupational Therapist
151 N 4TH AVE STE A
POCATELLO, ID 83201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710050414, enumerated as an "individual" on November 17, 2006.

The provider is located at 151 N 4TH AVE STE A POCATELLO, ID 83201 and the phone number is (208) 604-0800.

Occupational Therapist with taxonomy code 225X00000X.