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

Selena Bach, OT

Individual provider Occupational Therapist · NPI 1063905487

Selena Bach, OT is an Occupational Therapist in Private Practice in Sandpoint, Idaho. Qualified in 2017, 9 years ago. Licensed in Idaho and Montana.

Years since qualifying
9
Licensed in
ID, MT
In the registry since
2018
Specialties on file
2
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

1905 Pine St
Sandpoint, ID 83864-8311
Phone: (208) 263-7998
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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 OTP-OT-LIC-9952 (MT)
Occupational Therapist Taxonomy 225X00000X · Licence OT-1865 (ID)

Record details

NPI number1063905487
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedJune 11, 2018
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025
Mailing address1905 Pine St, Sandpoint, ID 83864-8311

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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