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

Jake Bundy, MOTR/L

Individual provider Occupational Therapist · NPI 1972005361

Jake Bundy, MOTR/L is an Occupational Therapist in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2018

Practice location Address checks out

560 Memorial Dr Ste B
Pocatello, ID 83201-4073
Phone: (208) 235-4263
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT-1457 (ID)

Record details

NPI number1972005361
Entity typeIndividual (Type 1)
GenderMale
Credentials MOTR/L
Sole proprietorYes
NPI enumeratedMarch 1, 2018
Last updated in NPPESMarch 1, 2018

Other providers in Pocatello