Cerebral Palsy of Utah

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CEREBRAL PALSY OF UTAH

Practice address

3550 S 700 W
Salt Lake City, UT 84119-4120

Phone

(801) 266-1805

Fax

(801) 266-2404

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Shelly G Petty

Title

Executive Director

Phone

(801) 266-1805

Specialties & licenses 2

Addresses

Other names 1

• Foundations for Independence Doing business as

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1013070028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 S 700 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841194120",
            "telephone_number": "801-266-1805",
            "fax_number": "801-266-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 S 700 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841194120",
            "telephone_number": "801-266-1805",
            "fax_number": "801-266-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRAL PALSY OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-266-1805",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundations for Independence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael James Centini, RPH
• Centro de Salud-Cruz
• Troia Lanell Cephas
• Michael Joseph Cerami, D.C.
• Lori Cerar
• Timothy Lee Cerepanya
• Maria Abigail Sangalang Cerezo, MD
• Galaad Cervantes
• Luis F Cervantes
• Maritsa Cortez Cervantes

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.