Active NPI
Eva Melton, CTRS
- Recreation Therapist
- West Jordan, UT
National Provider Identifier
1003704396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 12232110-4002
- Practice address
- 5899 W Rivendell Dr
West Jordan, UT 84081-6500 - Phone
- (800) 776-7116
- NPI assigned
- Jun 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 12232110-4002 | UT | Primary |
Addresses
Primary practice location
5899 W Rivendell Dr
West Jordan, UT 84081-6500
Mailing address
5899 W Rivendell Dr
West Jordan, UT 84081-6500
Phone (800) 776-7116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12232110-4002 | UT | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1003704396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5899 W RIVENDELL DR",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840816500",
"telephone_number": "800-776-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5899 W RIVENDELL DR",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840816500",
"telephone_number": "800-776-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "EVA",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-25",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "UT",
"license": "12232110-4002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.