# SENSORY BIN PEDIATRIC THERAPY CLINIC, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255603668
- **Authorized official:** MICHAEL MOROGE (MANAGER, OWNER)
- **Authorized official phone:** (208) 954-0263

## Contact information

- **Practice address:** 895 E STATE ST, EAGLE, ID 83616-6003
- **Practice address phone:** (208) 860-6229
- **Mailing address:** 1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OT-640 | ID | Yes |

## Other

- **Enumeration date:** 01/31/2012
- **Last updated:** 06/06/2023