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

Mr. Theodore William Peterson, OTR

Individual provider Occupational Therapist · NPI 1558434928

Mr. Theodore William Peterson, OTR is an Occupational Therapist in Pocatello, Idaho. Licensed in Iowa and Idaho. Registered with an NPI since 2006.

Licensed in
IA, ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Partly verified

Some contact details are missing from the federal record.

Idaho State University Campus Box 8045
Pocatello, ID 83209-0001
Phone: (208) 282-4631
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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-886 (ID)
Occupational Therapist Taxonomy 225X00000X · Licence 00800 (IA)

Record details

NPI number1558434928
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESAugust 18, 2008

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