Kiley Petencin
NPI 1639810823 · Pediatric Occupational Therapist · Idaho Falls, ID
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kiley Petencin is a Pediatric Occupational Therapist provider in Idaho Falls, ID (NPI 1639810823).
Provider details
- NPI number
- 1639810823
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- OT-1736 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2022-04-05
- Certified
- 2022-03-31
Frequently asked questions
- What is Kiley Petencin's NPI number?
- Kiley Petencin's National Provider Identifier (NPI) is 1639810823, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kiley Petencin's specialty?
- Kiley Petencin is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kiley Petencin located?
- Kiley Petencin's practice location on file with NPPES is 1460 Elk Creek Dr, Idaho Falls, ID 83404-8237.
- What is Kiley Petencin's phone number?
- The practice phone number listed in the NPPES registry for Kiley Petencin is (208) 535-1286.
- Does Kiley Petencin accept Medicare?
- Kiley Petencin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kiley Petencin's NPI active?
- Yes — Kiley Petencin's NPI (1639810823) is active in the NPPES registry as of the last update on 2022-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.