Organization Active NPI

Samantha Dawson Tandy, DPT, PLLC

  • Orthopedic Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1003564592
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
SAMANTHA DAWSON TANDY, DPT, PLLC
Practice address
352 S Denver St Ste 310
Salt Lake City, UT 84111-3053
Phone
(574) 453-8548
NPI assigned
Mar 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samantha Dawson Tandy, DPTNPI 1659933802
Title
Physical Therapist
Phone
(574) 453-8548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

352 S Denver St Ste 310
Salt Lake City, UT 84111-3053

Mailing address

418 E Williams Ave
Salt Lake City, UT 84111-4326
Phone (574) 453-8548

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1003564592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E WILLIAMS AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841114326",
            "telephone_number": "574-453-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 S DENVER ST STE 310",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113053",
            "telephone_number": "574-453-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA DAWSON TANDY, DPT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "DAWSON TANDY",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "574-453-8548",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.