Individual provider Active NPI

Ricardo Javier Quilaguy

  • Physical Therapy Assistant
  • Taylorsville, UT
National Provider Identifier
1023936622
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14216136-2402 Issued in UT
Practice address
2195 W 5400 S Ste 105
Taylorsville, UT 84129-1433
Phone
(385) 255-8255
NPI assigned
Jul 9, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14216136-2402 UT Primary

Addresses

Primary practice location

2195 W 5400 S Ste 105
Taylorsville, UT 84129-1433

Mailing address

1812 W 4100 S Unit E338
West Valley City, UT 84119-4796
Phone (786) 830-5230

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

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1023936622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 W 4100 S UNIT E338",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841194796",
            "telephone_number": "786-830-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 W 5400 S STE 105",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841291433",
            "telephone_number": "385-255-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILAGUY",
        "first_name": "RICARDO",
        "middle_name": "JAVIER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "UT",
            "license": "14216136-2402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.