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

Mrs. Betty Christina Jaques, OTRL

Individual provider Occupational Therapist · NPI 1811054265

Mrs. Betty Christina Jaques, OTRL is an Occupational Therapist in Private Practice in Blackfoot, Idaho. Qualified in 1993, 33 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
33
Licensed in
ID
In the registry since
2007
Specialties on file
2

Practice location Address checks out

7 N 600 W
Blackfoot, ID 83221-5533
Phone: (208) 684-9812
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-232 (ID)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence OT-232 (ID)

Record details

NPI number1811054265
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTRL
Sole proprietorYes
NPI enumeratedJanuary 3, 2007
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Blackfoot