Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Nicholas Bacciocco

Individual provider Occupational Therapy Assistant · NPI 1104235720

Nicholas Bacciocco is an Occupational Therapy Assistant in Twin Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014

Practice location Address checks out

1850 Bitterroot Dr
Twin Falls, ID 83301-3513 Not confirmed with CMS for 12 years — call before visiting
Phone: (801) 674-5752
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA-1351 (ID)

Record details

NPI number1104235720
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2014
Last updated in NPPESAugust 7, 2014

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