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

Preston Roger Poulter, OTR/LMSOT

Individual provider Occupational Therapist · NPI 1154172245

Preston Roger Poulter, OTR/LMSOT is an Occupational Therapist in Private Practice in Idaho Falls, Idaho. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2023, 3 years ago. Practices with Idaho Falls Hand Therapy Limited Partnership, a 2-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
ID
In the registry since
2024
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Practice location Address checks out

564 S Woodruff Ave
Idaho Falls, ID 83401-5298
Phone: (208) 523-7571
Fax: (208) 523-7573
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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-2860 (ID)

Record details

NPI number1154172245
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/LMSOT
Sole proprietorYes
NPI enumeratedMarch 28, 2024
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2023 (3 years in practice)
Group practice Idaho Falls Hand Therapy Limited Partnership — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Idaho Falls