Gary Willis, O.T.
NPI 1710050414 · Occupational Therapist · Chubbuck, ID
Gary Willis, O.T. is a Occupational Therapist provider in Chubbuck, ID (NPI 1710050414).
Provider details
- NPI number
- 1710050414
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- O.T.
- Sex
- Male
- Sole proprietor
- Yes
- License
- OT593 (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
19 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
- 2006-11-17
- Last updated
- 2007-07-08
Frequently asked questions
- What is Gary Willis's NPI number?
- Gary Willis's National Provider Identifier (NPI) is 1710050414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Willis's specialty?
- Gary Willis is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Gary Willis located?
- Gary Willis's practice location on file with NPPES is 4473 Fox Ct, Chubbuck, ID 83202-2670.
- What is Gary Willis's phone number?
- The practice phone number listed in the NPPES registry for Gary Willis is (208) 604-0800.
- Is Gary Willis's NPI active?
- Yes — Gary Willis's NPI (1710050414) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.