Organization Active NPI

Teamworks Therapy LLC

  • Occupational Therapist
  • Logan, UT
National Provider Identifier
1023155322
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2828354201 Issued in UT
Legal business name
TEAMWORKS THERAPY LLC
Practice address
642 N 1000 W Ste 107
Logan, UT 84321-3140
Phone
(435) 753-1556
Fax
(866) 420-3724
NPI assigned
Jan 30, 2007
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Steffanie Hansen
Title
Billing Manager
Phone
(435) 753-1556

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2828354201 UT Primary
Physical Therapy Clinic/Center 261QP2000X 275801-2401 UT

Addresses

Primary practice location

642 N 1000 W Ste 107
Logan, UT 84321-3140

Mailing address

642 N 1000 W Ste 107
Logan, UT 84321-3140
Phone (435) 753-1556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070716000443 UT Part B Supplier - Clinic/Group Practice 4284734542 Receives reassigned benefits from 2 practitioners
Practice locations: Logan, UT

National Provider Directory

National Provider Directory

Locations

642 N 1000 W
Ste 107
Logan, UT 84321
Phone (435) 258-5601

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1023155322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 N 1000 W STE 107",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213140",
            "telephone_number": "435-753-1556",
            "fax_number": "866-420-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 N 1000 W STE 107",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213140",
            "telephone_number": "435-753-1556",
            "fax_number": "866-420-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAMWORKS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "STEFFANIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "435-753-1556"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "2828354201",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "UT",
            "license": "275801-2401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.