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Kiley Petencin

  • Idaho Falls, ID
  • Occupational therapist
NPI1639810823PAC ID3971968769
Medical group
1
State licenses
2
Year NPI issued
2022
Practice address
1460 Elk Creek Dr, Idaho Falls, ID 83404
Practice phone
Call (208) 535-1286
Professional email
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Personal email
Get personal email
Mobile number
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Social profiles

Medical group

Holistic Community Therapy

Portland, Oregon

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Kiley Petencin is an occupational therapist in Idaho Falls, Idaho

Kiley Petencin practices with Holistic Community Therapy, a medical group.

Kiley Petencin's NPI, 1639810823, was assigned on April 5, 2022. Kiley Petencin holds Idaho license OT-1736.

NPI and contact details
NPI
1639810823NPI Registry (opens in a new tab)
Medicare PAC ID
3971968769
NPI enumeration date
April 5, 2022
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(208) 535-1286
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Female

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Doctors and Clinicians National Downloadable File (CMS)

Kiley Petencin's practice address is in Idaho Falls, Idaho

Kiley Petencin's practice address in the NPI Registry is 1460 Elk Creek Dr, Idaho Falls, ID 83404. The practice phone is (208) 535-1286.

  • NPI Registry address
    1460 Elk Creek Dr, Idaho Falls, ID 83404Phone(208) 535-1286

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Kiley Petencin is affiliated with 1 medical group

Kiley Petencin is part of Holistic Community Therapy, a medical group in Portland, Oregon.

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Kiley Petencin's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Kiley Petencin practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Holistic Community TherapyAvailable with a free account

Source: Dmand AI Technology Install Data

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Kiley Petencin is one of 133 occupational therapists in Idaho

Occupational therapist is Kiley Petencin's primary specialty in the NPI Registry, under taxonomy code 225X00000X. Dmand AI has Kiley Petencin's licenses on file in 2 states: Idaho and Oregon.

Specialties and state licenses

  • Occupational therapist, IdahoPrimaryLicense OT-1736 · taxonomy 225X00000X
  • Oregon licenseLicense 379227

Occupational therapists near Kiley Petencin

Counts of occupational therapists with a Dmand AI profile, by place and practice. Each opens the list.

133occupational therapists in Idaho12occupational therapists in Idaho Falls4occupational therapists at Holistic Community Therapy

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

How Kiley Petencin takes part in Medicare

Kiley Petencin accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

Sources for Kiley Petencin's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Kiley Petencin

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Kiley Petencin's NPI number?

Kiley Petencin's NPI number is 1639810823. It was assigned on April 5, 2022, and it is active in the NPI Registry.

What does Kiley Petencin specialize in?

Kiley Petencin is an occupational therapist in Idaho Falls, Idaho. The primary specialty in the NPI Registry is Occupational Therapist (taxonomy code 225X00000X).

Where does Kiley Petencin practice?

Kiley Petencin practices at 1460 Elk Creek Dr, Idaho Falls, ID 83404. Kiley Petencin's primary practice is Holistic Community Therapy, a medical group.

What is Kiley Petencin's office phone number?

The practice phone on file for Kiley Petencin is (208) 535-1286.

What is Kiley Petencin's medical license number?

Kiley Petencin holds Idaho license OT-1736, one of the licenses on file in 2 states.

Which states has Kiley Petencin been licensed in?

Dmand AI has state licenses on file for Kiley Petencin in Idaho and Oregon.

What medical group is Kiley Petencin part of?

Kiley Petencin is part of Holistic Community Therapy in Portland, Oregon.

Does Kiley Petencin accept Medicare?

Yes. CMS lists Kiley Petencin as accepting Medicare assignment.

How long has Kiley Petencin been practicing?

Kiley Petencin's NPI was assigned in 2022.

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