Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Odyssey Pediatric Therapy Specialists, LLC

Organization Occupational Therapy Assistant · NPI 1043949696

Odyssey Pediatric Therapy Specialists, LLC is an Occupational Therapy Assistant in Nampa, Idaho. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1031 W Sanetta St
Nampa, ID 83651-5047
Phone: (208) 910-2360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X
Occupational Therapy Assistant Taxonomy 224Z00000X
Physical Therapist Taxonomy 225100000X
Feeding, Eating & Swallowing Occupational Therapist Taxonomy 225XF0002X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1043949696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Bawden — Owner · (801) 815-4105
NPI enumeratedJune 8, 2022
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022
Mailing address1031 W Sanetta St, Nampa, ID 83651-5047

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