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: August 09, 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 NPPES 2

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

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

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 Gary Willis's NPI number?

The NPI number for Gary Willis is 1710050414. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Gary Willis located?

Gary Willis practices at 151 N 4th Ave Ste A, Pocatello, ID 83201. The listed phone number is (208) 604-0800.

What is Gary Willis'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 Gary Willis was last updated on June 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.