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

Jacob Andrew Belloli, OTR/L

Individual provider Gerontology Occupational Therapist · NPI 1669209532

Jacob Andrew Belloli, OTR/L is a Gerontology Occupational Therapist in Driggs, Idaho. Works from 3 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2024
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

120 E Howard St
Driggs, ID 83422-5112
Phone: (208) 354-2383
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3111 Channing Way, Idaho Falls, ID 83404-7534 — (208) 529-0067
  • 660 S 2nd W, Rexburg, ID 83440-2300 — (208) 356-0220

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT-2592 (ID)
Gerontology Occupational Therapist Taxonomy 225XG0600X · Licence OT-2592 (ID)

Record details

NPI number1669209532
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedSeptember 16, 2024
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024