Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica M Diviesti, OTR/L

Individual provider Occupational Therapist · NPI 1972845261

Jessica M Diviesti, OTR/L is an Occupational Therapist in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2013
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

935 Safstrom Dr
Idaho Falls, ID 83401-4107
Phone: (208) 520-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT-820 (ID)

Record details

NPI number1972845261
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedMarch 25, 2013
Last updated in NPPESMarch 25, 2013

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