Tina Wayland Fuller, COTA/L
NPI 1922420736 · Occupational Therapy Assistant · Mt Home, ID
Tina Wayland Fuller, COTA/L is a Occupational Therapy Assistant provider in Mt Home, ID (NPI 1922420736).
Provider details
- NPI number
- 1922420736
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- OTA-1095 (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
12 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
- 2014-01-13
- Last updated
- 2014-01-13
Frequently asked questions
- What is Tina Wayland Fuller's NPI number?
- Tina Wayland Fuller's National Provider Identifier (NPI) is 1922420736, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tina Wayland Fuller's specialty?
- Tina Wayland Fuller is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Tina Wayland Fuller located?
- Tina Wayland Fuller's practice location on file with NPPES is 895 N 6th E, Mt Home, ID 83647-2207.
- What is Tina Wayland Fuller's phone number?
- The practice phone number listed in the NPPES registry for Tina Wayland Fuller is (208) 580-9806.
- Is Tina Wayland Fuller's NPI active?
- Yes — Tina Wayland Fuller's NPI (1922420736) is active in the NPPES registry as of the last update on 2014-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.