Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elisa Bovenzi, OT

Individual provider Specialist · NPI 1285888503

Elisa Bovenzi, OT is an Occupational Therapist in Private Practice in Boise, Idaho. Graduated from Loma Linda University School of Medicine in 1996, 30 years ago. Practices with Aegis Group Practice LLC, a 406-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
30
Trained at
Loma Linda University School of Medicine
Licensed in
ID
In the registry since
2008
Specialties on file
2
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

101 S Allumbaugh Way
Boise, ID 83709-5658
Phone: (208) 323-8888
Fax: (208) 323-8889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5640 E Franklin Rd, Nampa, ID 83687-8402 — (208) 323-8888

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT-446 (ID)
Specialist Taxonomy 174400000X · Licence OT-446 (ID)

Record details

NPI number1285888503
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorYes
NPI enumeratedNovember 13, 2008
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Aegis Group Practice Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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