NPI 1184559031
Beacon Therapy LLC
Practice location
- Address
- 151 N 4th Ave STE a, Pocatello, ID 83201-6300
- Phone
- (208) 604-0800
- Mailing address
- 1030 Stars Rd, Chubbuck, ID 83202-1982
Authorised official
- Name
- Gary H Willis
- Title
- Occupational Therapist
- Phone
- (208) 604-0800
Registered specialties (12)
Occupational Therapist
Primary
Physical Therapist
Environmental Modification Occupational Therapist
Ergonomics Occupational Therapist
Gerontology Occupational Therapist
Human Factors Occupational Therapist
Mental Health Occupational Therapist
Neurorehabilitation Occupational Therapist
Physical Rehabilitation Occupational Therapist
Pediatric Occupational Therapist
Driving and Community Mobility Occupational Therapist
Speech-Language Pathologist
Registry record
- NPI
- 1184559031
- Entity type
- Organization
- NPI issued
- 15 Jun 2026
- Record last updated
- 15 Jun 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.