Active NPI
The Athlete Within
- Physical Therapist
- SLC, UT
National Provider Identifier
1003186669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7014647-2401
- Legal business name
- THE ATHLETE WITHIN
- Doing business as
- The Athlete Within
- Practice address
- 989 E 900 S
SLC, UT 84105-1473 - Phone
- (801) 512-3647
- Fax
- (435) 336-4463
- NPI assigned
- Jan 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karie Gibbons, DPT
- Title
- Owner/Medical Director
- Phone
- (801) 512-3647
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7014647-2401 | UT | Primary |
Addresses
Primary practice location
989 E 900 S
SLC, UT 84105-1473
Mailing address
8541 Littlewood Cir
Sandy, UT 84094-6303
Phone (801) 512-3647
Other names 1
- The Athlete Within
National Provider Directory
National Provider DirectoryLocations
989 E 900 S
Slc, UT 84105
Phone (801) 512-3647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326326400000",
"number": "1003186669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8541 LITTLEWOOD CIR",
"city": "SANDY",
"state": "UT",
"postal_code": "840946303",
"telephone_number": "801-512-3647",
"fax_number": "435-336-4463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "989 E 900 S",
"city": "SLC",
"state": "UT",
"postal_code": "841051473",
"telephone_number": "801-512-3647",
"fax_number": "435-336-4463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ATHLETE WITHIN",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-12",
"last_updated": "2012-01-12",
"status": "A",
"authorized_official_last_name": "GIBBONS",
"authorized_official_first_name": "KARIE",
"authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "801-512-3647",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "UT",
"license": "7014647-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Athlete Within",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in SLC, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.